Bicyclic inhibitors of factor Xa

ABSTRACT

This invention relates generally to a novel class of bicyclic heterocyclic compounds of the Formula (I):  
                 
 
     or pharmaceutically acceptable salt forms thereof, which are inhibitors of trypsin-like serine protease enzymes, especially factor Xa, pharmaceutical compositions containing the same, and methods of using the same as anticoagulant agents for treatment and prevention of thromboembolic disorders.

FIELD OF THE INVENTION

[0001] This invention relates generally to a novel class of bicyclic heterocycles, which are inhibitors of trypsin-like serine protease enzymes, especially factor Xa, pharmaceutical compositions containing the same, and methods of using the same as anticoagulant agents for treatment and prevention of thromboembolic disorders.

BACKGROUND OF THE INVENTION

[0002] WO98/52948 details inhibitors of ceramide-mediated signal transduction. One of the types of inhibitors described is of the following formula:

[0003] wherein Y₁ can be N—R₆, R₆ can be unsubstituted aryl-alkyl or unsubstituted heterocyclic-alkyl and R₁ can be a substituted aryl group. WO98/52948 does not mention factor Xa inhibition or show compounds like those of the present invention.

[0004] WO99/39131 describes heterobicyclic Factor Xa inhibitors of which the following is an example formula:

[0005] wherein Z is C or N, G is a mono- or bicyclic group, A is a cyclic moiety and B is a basic group or a cyclic moiety. Compounds with this substitution pattern are not considered to be part of the present invention.

[0006] WO00/40583 and WO00/20416 describes factor Xa inhibitors of the following formula:

[0007] wherein R is alkyl or cycloalkyl, R¹ and R² are optionally substituted phenyl, naphthyl, or biphenyl.

[0008] WO01/19798 describes factor Xa inhibitors of the following formula:

A—Q—D—E—G—J—X

[0009] wherein A, D, G, and X can be phenyl or heterocycle. However, none of the presently claimed compounds are exemplified or suggested in WO01/19798.

[0010] None of the above references teaches or suggests the compounds of the present invention that are described in detail below.

[0011] Activated factor Xa, whose major practical role is the generation of thrombin by the limited proteolysis of prothrombin, holds a central position that links the intrinsic and extrinsic activation mechanisms in the final common pathway of blood coagulation. The generation of thrombin, the final serine protease in the pathway to generate a fibrin clot, from its precursor is amplified by formation of prothrombinase complex (factor Xa, factor V, Ca²⁺ and phospholipid). Since it is calculated that one molecule of factor Xa can generate 138 molecules of thrombin (Elodi, S, Varadi, K.: Optimization of conditions for the catalytic effect of the factor IXa-factor VIII Complex: Probable role of the complex in the amplification of blood coagulation. Thromb. Res. 1979, 15, 617-629), inhibition of factor Xa may be more efficient than inactivation of thrombin in interrupting the blood coagulation system.

[0012] Therefore, efficacious and specific inhibitors of factor Xa are needed as potentially valuable therapeutic agents for the treatment of thromboembolic disorders. It is thus desirable to discover new factor Xa inhibitors.

SUMMARY OF THE INVENTION

[0013] Accordingly, the present invention provides novel bicyclic heterocycles that are useful as factor Xa inhibitors or pharmaceutically acceptable salts or prodrugs thereof.

[0014] The present invention provides pharmaceutical compositions comprising a pharmaceutically acceptable carrier and a therapeutically effective amount of at least one of the compounds of the present invention or a pharmaceutically acceptable salt or prodrug form thereof.

[0015] The present invention provides a method for treating thromboembolic disorders comprising administering to a host in need of such treatment a therapeutically effective amount of at least one of the compounds of the present invention or a pharmaceutically acceptable salt form thereof.

[0016] The present invention provides a novel method of treating a patient in need of thromboembolic disorder treatment, comprising: administering a compound of the present invention or a pharmaceutically acceptable salt thereof in an amount effective to treat a thromboembolic disorder.

[0017] The present invention provides a novel method, comprising: administering a compound of the present invention or a pharmaceutically acceptable salt thereof in an amount effective to treat a thromboembolic disorder.

[0018] The present invention to provide novel bicyclic compounds for use in therapy.

[0019] The present invention provides the use of novel bicyclic compounds for the manufacture of a medicament for the treatment of a thromboembolic disorder.

[0020] These and other features of the invention, which will become apparent during the following detailed description, have been achieved by the inventors, discovery that the presently claimed fused heterocyclic compounds, or pharmaceutically acceptable salt or prodrug forms thereof, are effective factor Xa inhibitors.

DETAILED DESCRIPTION OF PREFERRED EMBODIMENTS

[0021] [1] In an embodiment, the present invention provides a novel compound of Formula (I):

[0022] or a stereoisomer or pharmaceutically acceptable salt thereof, wherein:

[0023] ring M, including M₁ and M₂, is a 5, 6, or 7 membered carbocycle or heterocycle, consisting of: carbon atoms, 0-3 double bonds, 0-2 carbonyl groups, and 0-3 heteroatoms selected from O, S(O)_(p), N, and NZ²; and ring M is substituted with 0-2 R³;

[0024] M₁ is C(O), CH, CH₂, O, N, SO or SO₂;

[0025] M₂ is C, CH, or N;

[0026] ring P, including P₁, is a 5, 6, or 7 membered non-aromatic carbocycle or heterocycle, consisting of: carbon atoms, 0-2 double bonds, 0-2 carbonyl groups, and 0-3 heteroatoms selected from O, S(O)_(p), N, and NH; and ring P is substituted with 0-2 R^(1a);

[0027] P₁ is C or N;

[0028] one of P₂ and M₃ is —Z—A—B and the other —G₁—G;

[0029] G₁ is absent or is selected from (CR³R^(3a))₁₋₅, (CR³R^(3a))₀₋₂CR³═CR³(CR³R^(3a))₀₋₂, (CR³R^(3a))₀₋₂C≡C(CR³R^(3a))₀₋₂, (CR³R^(3a))_(u)C(O)(CR³R^(3a))_(w), (CR³R^(3a))_(u)C(O)O(CR³R^(3a))_(w), (CR³R^(3a))_(u)OC(O)(CR³R^(3a))_(w), (CR³R^(3a))_(u)(CR³R^(3a))_(w), (CR³R^(3a))_(u)NR^(3b)(CR³R^(3a))_(w), (CR³R^(3a))_(u)C(O)NR^(3b)(CR³R^(3a))_(w), (CR³R^(3a))_(u)NR^(3b)C(O)(CR³R^(3a))_(w), (CR³R^(3a))_(u)OC(O)NR^(3b)(CR³R^(3a))_(w), (CR³R^(3a))_(u)NR^(3b)C(O)O(CR³R^(3a))_(w), (CR³R^(3a))_(u)NR^(3b)C(O)NR^(3b)(CR³R^(3a))_(w), (CR³R^(3a))_(u)NR^(3b)C(S)NR³(CR³R^(3a))_(w), (CR³R^(3a))_(u)S(CR³R^(3a))_(w), (CR³R^(3a))_(u)S(O)(CR³R^(3a))_(w), (CR³R^(3a))_(u)S(O)₂(CR³R^(3a))_(w), (CR³R^(3a))_(u)S(O)NR^(3b)(CR³R^(3a))_(w), (CR³R^(3a))_(u)NR^(3b)S(O)₂(CR³R^(3a))_(w), (CR³R^(3a))_(u)S(O)₂NR^(3b)(CR³R^(3a))_(w), (CR³R^(3a))_(u)NR^(3b)S(O)₂NR^(3b)(CR³R^(3a))_(w), (CR³R^(3a))_(u)NR^(3e)(CR³R^(3a))_(w), (CR³R^(3a))_(u)C(O)(CR³R^(3a))_(u)C(O)(CR³R^(3a))_(w), (CR³R^(3a))_(u)NR^(3b)(CR³R^(3a))_(u)C(O)NR^(3b)(CR³R^(3a))_(w), (CR³R^(3a))_(u)NR^(3b)C(O)(CR³R^(3a))_(u)C(O)(CR³R^(3a))_(w), (CR³R^(3a))_(u)C(O)(CR³R^(3a))_(u)C(O)NR^(3b)(CR³R^(3a))_(w), (CR³R^(3a))_(u)NR^(3b)C(O)(CR³R^(3a))_(u)C(O)NR^(3b)(CR³R^(3a))_(w), (CR³R^(3a))_(u)S(O)NR^(3b)C(O)(CR³R^(3a))_(w), (CR³R^(3a))_(u)C(O)NR^(3b)S(O)₂(CR³R^(3a))_(w), and (CR³R^(3a))_(u)S(O)₂NR^(3b)C(O)NR^(3b)CR³R^(3a))_(w), wherein (u+w) or (u+u+w) is 0, 1, 2, 3, or 4, provided that G₁ does not form a N—S, NCH₂N, NCH₂O, or NCH₂S bond with either group to which it is attached;

[0030] G is a group of formula IIa or IIb:

[0031] ring D, including the two atoms of ring E to which it is attached, is a 5-6 membered non-aromatic ring consisting of carbon atoms, 0-1 double bonds, and 0-2 heteroatoms selected from the group consisting of N, O, and S(O)_(p), and ring D is substituted with 0-2 R¹, provided that ring D has other than a O—O, O—S(O)_(p), S(O)_(p)—O, and S(O)_(p)—S(O)_(p), bond;

[0032] alternatively, ring D, including the two atoms of ring E to which it is attached, is a 5-6 membered aromatic group consisting of carbon atoms and 0-2 heteroatoms selected from the group consisting of N, O, and S(O)_(p), and ring D is substituted with 0-2 R¹;

[0033] E is selected from phenyl, pyridyl, pyrimidyl, pyrazinyl, and pyridazinyl, and is substituted with 0-1 R¹;

[0034] alternatively, ring D is absent and ring E is selected from phenyl, pyridyl, pyrimidyl, pyrazinyl, pyridazinyl, pyrrolyl, pyrazolyl, imidazolyl, isoxazolyl, oxazolyl, thiazolyl, thienyl and trizaolyl, and ring E is substituted with 0-2 R^(a);

[0035] R^(a) is selected from F, Cl, Br, I, OH, OCH₃, OCH₂CH₃, OCH(CH₃)₂, OCH₂CH₂CH₃, CN, C(═NR⁸)NR⁷R⁹, NHC(═NR⁸)NR⁷R⁹, NR⁸CH(═NR⁷), C(O)NR⁷R⁸, (CR⁸R⁹)_(t)NR⁷R⁸, SH, SCH₃, SCH₂CH₃, SCH(CH₃)₂, SCH₂CH₂CH₃, S(O)R^(3b), S(O)₂R^(3a), S(O)₂NR²R^(2a), and OCF₃;

[0036] alternatively, two R^(a)s combine to form methylenedioxy or ethylenedioxy;

[0037] alternatively, ring D is absent and ring E is selected from phenyl, pyridyl, pyrimidyl, pyrazinyl, pyridazinyl, and thienyl, and ring E is substituted with 1 R and with a 5-6 membered aromatic heterocycle consisting of: carbon atoms and 1-4 heteroatoms selected from the group consisting of N, O, and S(O)_(p) substituted with 0-1 carbonyl groups and 0-2 R¹;

[0038] alternatively, ring D is absent and ring E is selected from pyrrolyl, pyrazolyl, imidazolyl, isoxazolyl, oxazolyl, triazolyl, thiophenyl, and thiazolyl, and ring E is substituted with R^(e);

[0039] R^(e) is selected from CN, C(═NR⁸)NR⁷R⁹, NHC(═NR⁸)NR⁷R⁹, NR⁸CH(═NR⁷), C(O)NR⁷R⁸, and (CR⁸R⁹)_(t)NR⁷R⁸;

[0040] A is selected from:

[0041] C₃₋₁₀ carbocycle substituted with 0-2 R⁴, and 5-12 membered heterocycle consisting of carbon atoms and from 1-4 heteroatoms selected from the group consisting of N, O, and S and substituted with 0-2 R⁴;

[0042] B is selected from: Y, X—Y, (CH₂)₀₋₂C(O)NR²R^(2a), (CH₂)₀₋₂NR²R^(2a), C(═NR²)NR²R^(2a), and NR²C(═NR²)NR²R^(2a), provided that Z and B are attached to different atoms on A;

[0043] X is selected from —(CR²R^(2a))₁₋₄—, —CR²(CR²R^(2b))(CH₂)_(t)—, —C(O)—, —C(═NR^(1c))—, —CR²(NR²R^(2a))—, —CR²(OR²)—, —CR²(SR²)—, —C(O)CR²R^(2a)—, —CR²R^(2a)C(O), —S—, —S(O)—, —S(O)₂—, —SCR²R^(2a)—, —S(O)CR²R^(2a)—, —S(O)₂CR²R^(2a)—, —CR²R^(2a)S—, —CR²R^(2a)S(O)—, —CR²R^(2a)S(O)₂—, —S(O)₂NR²—, —NR²S(O)₂—, —NR²S(O)₂CR²R^(2a)—, —CR²R^(2a)S(O)₂NR²—, —NR²S(O)₂NR²—, —C(O)NR₂—, —NR²C(O)—, —C(O)NR²CR²R^(2a)—, —NR²C(O)CR²R^(2a)—, —CR²R^(2a)C(O)NR²—, —CR²R^(2a)NR²C(O)—, —NR²C(O)O—, —OC(O)NR²—, —NR²C(O)NR²—, —NR²—, —NR²CR²R^(2a)—, —CR²R^(2a)NR²—, O, —CR²R^(2a)O—, and —OCR²R^(2a)—;

[0044] Y is selected from:

[0045] —(CH₂)_(r)NR²R^(2a);

[0046] C₃₋₁₀ carbocycle substituted with 0-2 R^(4a); and 5-10 membered heterocycle consisting of carbon atoms and from 1-4 heteroatoms selected from the group consisting of N, O, and S and substituted with 0-2 R^(4a);

[0047] provided that X—Y do not form a N—N, O—N, or S—N bond;

[0048] Z is selected from a bond, —(CR³R^(3a))₁₋₄—, (CR³R^(3a))_(q)O(CR³R^(3a))_(m), (CR³R^(3a))_(q)NR^(3b)(CR³R^(3a))_(m), (CR³R^(3a))_(q)C(O)(CR³R^(3a))_(m), (CR³R^(3a))_(q)C(O)O(CR³R^(3a))_(m), (CR³R^(3a))_(q)OC(O)(CR³R^(3a))_(m), (CR³R^(3a))_(q)C(O)NR^(3b)(CR³R^(3a))_(m), (CR³R^(3a))_(q)NR^(3b)C(O)(CR³R^(3a))_(m), (CR³R^(3a))_(q)OC(O)O(CR³R^(3a))_(m), (CR³R^(3a))_(q)OC(O)NR^(3b)(CR²R^(2a))_(m), (CR³R^(3a))_(q)NR^(3b)C(O)O(CR³R^(3a))_(m), (CR³R^(3a))_(q)NR^(3b)C(O)NR^(3b)(CR³R^(3a))_(m), (CR³R^(3a))_(q)C(O)(CR³R^(3a))_(q)C(O)(CR³R^(3a))_(m), (CR³R^(3a))_(q)NR^(3b)(CR³R^(3a))_(q)C(O)NR^(3b)(CR³R^(3a))_(m), (CR³R^(3a))_(q)NR^(3b)C(O)(CR³R^(3a))_(q)C(O)(CR³R^(3a))_(m), (CR³R^(3a))_(q)C(O)(CR³R^(3a))_(q)C(O)NR^(3b)(CR³R^(3a))_(m), (CR³R^(3a))_(q)NR^(3b)C(O)(CR³R^(3a))_(q)C(O)NR^(3b)(CR³R^(3a))_(m), (CR³R^(3a))_(q)S(CR³R^(3a))_(m), (CR³R^(3a))_(q)S(O)(CR³R^(3a))_(m), (CR³R^(3a))_(q)S(O)₂(CR³R^(3a))_(m), (CR³R^(3a))_(q)SO₂NR^(3b)(CR³R^(3a))_(m), (CR³R^(3a))_(q)NR^(3b)SO₂(CR³R^(3a))_(m), (CR³R^(3a))_(q)S(O)NR^(3b)C(O)(CR³R^(3a))_(m), (CR³R^(3a))_(q)C(O)NR^(3b)S(O)₂(CR³R^(3a))_(m), (CR³R^(3a))_(q)NR^(3b)SO₂NR^(3b)(CR³R^(3a))_(m), wherein (q+m) or (q+q+m) is 0, 1, 2, 3, or 4, provided that Z does not form a N—S, NCH₂N, NCH₂O, or NCH₂S bond with either group to which it is attached;

[0049] Z² is selected from H; S(O)₂NHR³; C(O)R³; C(O)NHR³; C(O)OR^(3f); S(O)R^(3f); S(O)₂R^(3f); C₁₋₆ alkyl substituted with 0-2 R^(1a); C₂₋₆ alkenyl substituted with 0-2 R^(1a); C₂₋₆ alkynyl substituted with 0-2 R^(1a); —(C₀₋₄ alkyl)-C₃₋₁₀-carbocycle substituted with 0-3 R^(1a); —(C₀₋₄ alkyl)-5-12 membered-heterocycle substituted with 0-3 R^(1a) and consisting of: carbon atoms and 1-4 heteroatoms selected from the group consisting of N, O, and S(O)_(p);

[0050] R is selected from H, C₁₋₄ alkyl, F, Cl, Br, I, OH, OCH₃, OCH₂CH₃, OCH(CH₃)₂, OCH₂CH₂CH₃, CN, C(═NR⁸)NR⁷R⁹, NHC(═NR⁸)NR⁷R⁹, NR⁸CH(═NR⁷), NH₂, NH(C₁₋₃ alkyl), N(C₁₋₃ alkyl)₂, C(═NH)NH₂, CH₂NH₂, CH₂NH(C₁₋₃ alkyl), CH₂N(C₁₋₃ alkyl)₂, CH₂CH₂NH₂, CH₂CH₂NH(C₁₋₃ alkyl), CH₂CH₂N(C₁₋₃ alkyl)₂, (CR⁸R⁹)_(t)C(O)H, (CR⁸R⁹)_(t)C(O)R^(2c), (CR⁸R⁹)_(t)NR⁷R⁸, (CR⁸R⁹)_(t)C(O)NR⁷R⁸, (CR⁸R⁹)_(t)NR⁷C(O)R⁷, (CR⁸R⁹)_(t)OR³, (CR⁸R⁹)_(t)S(O)_(p)NR⁷R⁸, (CR⁸R⁹)_(t)NR⁷S(O)_(p)R⁷, (CR⁸R⁹)_(t)SR³, (CR⁸R⁹)_(t)S(O)R³, (CR⁸R⁹)_(t)S(O)₂R³, and OCF₃;

[0051] R¹ is selected from F, Cl, Br, I, OH, OCH₃, OCH₂CH₃, OCH(CH₃)₂, OCH₂CH₂CH₃, NH₂, NH(C₁₋₃ alkyl), N(C₁₋₃ alkyl)₂, C(═NH)NH₂, CH₂NH₂, CH₂NH(C₁₋₃ alkyl), CH₂N(C₁₋₃ alkyl)₂, CH₂CH₂NH₂, CH₂CH₂NH(C₁₋₃ alkyl), and CH₂CH₂N(C₁₋₃ alkyl)₂;

[0052] R^(1a) is selected from H, —(CH₂)_(r)—R^(1b), —(CH₂)_(r)—O—(CH₂)_(r)—R^(1b), —CH═CH—R^(1b), NCH₂R^(1c), NR²R^(2a), OCH₂R^(1c), SCH₂R^(1c), NH(CH₂)₂(CH₂)_(t)R^(1b), C(O)NR²(CH₂)₂(CH₂)_(t)R^(1b), O(CH₂)₂(CH₂)_(t)R^(1b), S(CH₂)₂(CH₂)_(t)R^(1b), S(O)_(p)(CH₂)_(r)R^(1d), O(CH₂)_(r)R^(1d), NR³(CH₂)_(r)R^(1d), OC(O)NR³(CH₂)_(r)R^(1d), NR³C(O)NR³(CH₂)_(r)R^(1d), NR³C(O)O(CH₂)_(r)R^(1d), and NR³C(O)(CH₂)_(r)R^(1d), provided that R^(1a) forms other than an N-halo, N—N, N—S, N—O, or N—CN bond;

[0053] alternatively, when two R^(1a)s are attached to adjacent atoms, together with the atoms to which they are attached they form a 5-7 membered ring consisting of: carbon atoms and 0-2 heteroatoms selected from the group consisting of N, O, and S(O)^(p), this ring being substituted with 0-2 R^(4b), and comprising: 0-3 double bonds;

[0054] R^(1b) is selected from H, C₁₋₃ alkyl, F, Cl, Br, I, —CN, —CHO, (CF₂)_(r)CF₃, (CH₂)_(r)OR², NR²R^(2a), C(O)R^(2c), OC(O)R², (CF₂)_(r)CO₂R^(2a), S(O)_(p)R^(2b), NR²(CH₂)_(r)OR², C(═NR^(2c))NR²R^(2a), NR²C(O)R^(2b), NR²C(O)NHR^(2b), NR²C(O)₂R^(2a), OC(O)NR^(2a)R^(2b), C(O)NR²R^(2a), C(O)NR²(CH₂)_(r)OR², SO₂NR²R^(2a), NR²SO₂R^(2b), C₃₋₆ carbocycle substituted with 0-2 R^(4a), and 5-10 membered heterocycle consisting of carbon atoms and from 1-4 heteroatoms selected from the group consisting of N, O, and S(O)_(p), substituted with 0-2 R^(4a), provided that R^(1b) forms other than an N-halo, N—N, N—S, N—O, or N—CN bond with the group to which it is attached;

[0055] R^(1c) is selected from H, CH(CH₂OR²)₂, C(O)R^(2c), C(O)NR²R^(2a), S(O)R^(2b), S(O)₂R^(2b), and SO₂NR²R^(2a);

[0056] R^(1d) is selected from C₃₋₆ carbocycle substituted with 0-2 R^(4a) and 5-10 membered heterocycle consisting of carbon atoms and from 1-4 heteroatoms selected from the group consisting of N, O, and S(O)_(p) substituted with 0-2 R^(4a), provided that R^(1d) forms other than an N—N, N—S, or N—O bond;

[0057] R² and R^(2a), at each occurrence, are independently selected from H; CF₃; C₁₋₆ alkyl; benzyl; —(CH₂)_(r)—C₃₋₁₀ carbocycle substituted with 0-2 R^(4b); and —(CH₂)_(r)-5-10 membered heterocycle consisting of carbon atoms and from 1-4 heteroatoms selected from the group consisting of N, O, and S substituted with 0-2 R^(4b);

[0058] alternatively, R² and R^(2a), together with the atom to which they are attached, combine to form a 5 or 6 membered saturated, partially saturated or unsaturated ring substituted with 0-2 R^(4b) and consisting of: carbon atoms and 0-1 additional heteroatoms selected from the group consisting of N, O, and S(O)_(p);

[0059] R^(2b), at each occurrence, is selected from CF₃, C₁₋₄ alkoxy, C₁₋₆ alkyl substituted with 0-2 R^(4b), —(CH₂)_(r)—C₃₋₁₀ carbocycle substituted with 0-2 R^(4b), and —(CH₂)_(r)-5-10 membered heterocycle consisting of: carbon atoms and 1-4 heteroatoms selected from the group consisting of N, O, and S(O)_(p) and substituted with 0-2 R^(4b);

[0060] R^(2c), at each occurrence, is selected from CF₃, OH, C₁₋₄ alkoxy, C₁₋₆ alkyl, —(CH₂)_(r)—C₃₋₁₀ carbocycle substituted with 0-2 R^(4b), and —(CH₂)_(r)-5-10 membered heterocyclic system containing from 1-4 heteroatoms selected from the group consisting of N, O, and S(O)_(p) and substituted with 0-2 R^(4b);

[0061] R³ and R^(3a), at each occurrence, is independently selected from H, C₁₋₄ alkyl, benzyl and phenyl;

[0062] R^(3b), at each occurrence, is selected from H, C₁₋₆ alkyl substituted with 0-2 R^(1a), C₂₋₆ alkenyl substituted with 0-2 R^(1a), C₂₋₆ alkynyl substituted with 0-2 R^(1a), —(C₀₋₄ alkyl)-5-10 membered carbocycle substituted with 0-3 R^(1a), and —(C₀₋₄ alkyl)-5-10 membered heterocycle substituted with 0-3 R^(1a) and consisting of: carbon atoms and 1-4 heteroatoms selected from the group consisting of N, O, and S(O)_(p);

[0063] R^(3c), at each occurrence, is selected from C₁₋₄ alkyl, benzyl, and phenyl;

[0064] R^(3d), at each occurrence, is selected from H, C₁₋₄ alkyl, C₁₋₄ alkyl-phenyl, and C(═O)R^(3c);

[0065] R^(3e), is selected from H, S(O)₂NHR³, C(O)R³, C(O)NHR³, C(O)OR^(3f), S(O)R^(3f), S(O)₂R^(3f), C₁₋₆ alkyl substituted with 0-2 R^(1a), C₂₋₆ alkenyl substituted with 0-2 R^(1a), C₂₋₆ alkynyl substituted with 0-2 R^(1a), —(C₀₋₄ alkyl)-5-10 membered carbocycle substituted with 0-3 R^(1a), and —(C₀₋₄ alkyl)-5-10 membered heterocycle substituted with 0-3 R^(1a) and consisting of: carbon atoms and 1-4 heteroatoms selected from the group consisting of N, O, and S(O)_(p);

[0066] R^(3f), at each occurrence, is selected from: C₁₋₆ alkyl substituted with 0-2 R^(1a), C₂₋₆ alkenyl substituted with 0-2 R^(1a), C₂₋₆ alkynyl substituted with 0-2 R^(1a), -(C₀₋₄ alkyl)-5-10 membered carbocycle substituted with 0-3 R^(1a), and —(C₀₋₄ alkyl)-5-10 membered heterocycle substituted with 0-3 R^(1a) and consisting of: carbon atoms and 1-4 heteroatoms selected from the group consisting of N, O, and S(O)_(p);

[0067] R⁴, at each occurrence, is selected from H, ═O, (CH₂)_(r)OR², F, Cl, Br, I, C₁₋₄ alkyl, (CH₂)_(r)CN, (CH₂)_(r)NO₂, (CH₂)_(r)NR²R^(2a), (CH₂)_(r)C(O)R²C, (CH₂)_(r)NR²C(O)R^(2b), (CH₂)_(r)C(O)NR²R^(2a), (CH₂)_(r)NR²C(O)NR²R^(2a), (CH₂)_(r)C(═NR²)NR²R^(2a), (CH₂)_(r)C(═NS(O)₂R⁵)NR²R^(2a), (CH₂)_(r)NHC(═NR²)NR²R^(2a), (CH₂)_(r)C(O)NHC(═NR²)NR²R^(2a), (CH₂)_(r)SO₂NR²R^(2a), (CH₂)_(r)NR²SO₂NR²R^(2a), (CH₂)_(r)NR²SO₂—C₁₋₄ alkyl, (CH₂)_(r)NR²SO₂R⁵, (CH₂)_(r)S(O)_(p)R^(5a), (CF₂)_(r)CF₃, NCH₂R^(1c), OCH₂R^(1c), SCH₂R^(1c), N(CH₂)₂(CH₂)_(t)R^(1b), O(CH₂)₂(CH₂)_(t)R^(1b), S(CH₂)₂(CH₂)_(t)R^(1b), (CR³R^(3a))_(r)-5-6 membered carbocycle substituted with 0-1 R⁵, and a (CR³R^(3a))_(r)-5-6 membered heterocycle consisting of: carbon atoms and 1-4 heteroatoms selected from the group consisting of N, O, and S(O)_(p) and substituted with 0-1 R⁵;

[0068] R^(4a), at each occurrence, is selected from H, ═O, (CR³R^(3a))_(r)OR², (CR³R^(3a))_(r)F, (CR³R^(3a))_(r)Br, (CR³R^(3a))_(r)Cl, C₁₋₄ alkyl, (CR³R^(3a))_(r)CN, (CR³R^(3a))_(r)NO₂, (CR³R^(3a))_(r)NR²R^(2a), (CR³R^(3a))_(r)C(O)R^(2c), (CR³R^(3a))_(r)NR²C(O)R^(2b), (CR³R^(3a))_(r)C(O)NR²R^(2a), (CR³R^(3a))_(r)N—CHOR³, (CR³R^(3a))_(r)C(O)NH(CH₂)₂NR²R^(2a), (CR³R^(3a))_(r)NR²C(O)NR²R^(2a), (CR³R^(3a))_(r)C(═NR²)NR²R^(2a), (CR³R^(3a))_(r)NHC(═NR²)NR²R^(2a), (CR³R^(3a))_(r)SO₂NR²R^(2a), (CR³R^(3a))_(r)NR²SO₂NR²R^(2a), (CR³R^(3a))_(r)NR²SO₂—C₁₋₄ alkyl, (CR³R^(3a))_(r)C(O)NHSO₂—C₁₋₄ alkyl, (CR³R^(3a))NR²SO₂R⁵, (CR³R^(3a))_(r)S(O)_(p)R^(5a), (CR³R^(3a))_(r)(CF₂)_(r)CF₃, (CR³R^(3a))_(r)-5-6 membered carbocycle substituted with 0-1 R⁵, and a (CR³R^(3a))_(r)-5-6 membered heterocycle consisting of: carbon atoms and 1-4 heteroatoms selected from the group consisting of N, O, and S(O)_(p), and substituted with 0-1 R⁵;

[0069] R^(4b), at each occurrence, is selected from H, ═O, (CH₂)_(r)OR³, (CH₂)_(r)F, (CH₂)_(r)Cl, (CH₂)_(r)Br, (CH₂)_(r)I, C₁₋₄ alkyl, (CH₂)_(r)CN, (CH₂)_(r)NO₂, (CH₂)_(r)NR³R^(3a), (CH₂)_(r)C(O)R³, (CH₂)_(r)C(O)OR^(3c), (CH₂)_(r)NR³C(O)R^(3a), (CH₂)_(r)C(O)NR³R^(3a), (CH₂)_(r)NR³C(O)NR³R^(3a), (CH₂)_(r)—C(═NR³)NR³R^(3a), (CH₂)_(r)NR³C (═NR³)NR³R^(3a), (CH₂)_(r)SO₂NR³R^(3a), (CH₂)_(r)NR³SO₂NR³R^(3a), (CH₂)_(r)NR³SO₂—C₁₋₄ alkyl, (CH₂)_(r)NR³SO₂CF₃, (CH₂)_(r)NR³SO₂-phenyl, (CH₂)_(r)S(O)_(p)CF₃, (CH₂)_(r)S(O)_(p)—C₁₋₄ alkyl, (CH₂)_(r)S(O)_(p)-phenyl, and (CH₂)_(r)(CF₂)_(r)CF₃;

[0070] R⁵, at each occurrence, is selected from H, C₁₋₆ alkyl, ═O, (CH₂)_(r)OR³, F, Cl, Br, I, C₁₋₄ alkyl, —CN, NO₂, (CH₂)_(r)NR³R^(3a), (CH₂)_(r)C(O)R³, (CH₂)_(r)C(O)OR^(3c), NR³C(O)R^(3a), C(O)NR³R^(3a), NR³C(O)NR³R^(3a), CH(═NOR^(3d)), C(═NR³)NR³R^(3a), NR³C(═NR³)NR³R^(3a), SO₂NR³R^(3a), NR³SO₂NR³R^(3a), NR³SO₂—C₁₋₄ alkyl, NR³SO₂CF₃, NR³SO₂-phenyl, S(O)_(p)CF₃, S(O)_(p)—C₁₋₄ alkyl, S(O)_(p)-phenyl, (CF₂)_(r)CF₃, phenyl substituted with 0-2 R⁶, naphthyl substituted with 0-2 R⁶, and benzyl substituted with 0-2 R⁶;

[0071] R^(5a), at each occurrence, is selected from C₁₋₆ alkyl, (CH₂)_(r)OR³, (CH₂)_(r)NR³R^(3a), (CH₂)_(r)C(O)R³, (CH₂)_(r)C(O)OR^(3c), (CH₂)_(r)NR³C(O)R^(3a), (CH₂)_(r)C(O)NR³R^(3a), (CF₂)_(r)CF₃, phenyl substituted with 0-2 R⁶, naphthyl substituted with 0-2 R⁶, and benzyl substituted with 0-2 R⁶, provided that R^(5a) does not form a S—N or S(O)_(p)—C(O) bond;

[0072] R⁶, at each occurrence, is selected from H, OH, (CH₂)_(r)OR², halo, C₁₋₄ alkyl, CN, NO₂, (CH₂)_(r)NR²R^(2a), (CH₂)_(r)C(O)R^(2b), NR²C(O)R^(2b), NR²C(O)NR²R^(2a), C(═NH)NH₂, NHC(═NH)NH₂, SO₂NR²R^(2a), NR²SO₂NR²R^(2a), and NR²SO₂C₁₋₄ alkyl;

[0073] R⁷, at each occurrence, is selected from H, OH, C₁₋₆ alkyl, C₁₋₆ alkylcarbonyl, C₁₋₆ alkoxy, C₁₋₄ alkoxycarbonyl, (CH₂)_(n)-phenyl, C₆₋₁₀ aryloxy, C₆₋₁₀ aryloxycarbonyl, C₆₋₁₀ arylmethylcarbonyl, C₁₋₄ alkylcarbonyloxy C₁₋₄ alkoxycarbonyl, C₆₋₁₀ arylcarbonyloxy C₁₋₄ alkoxycarbonyl, C₁₋₆ alkylaminocarbonyl, phenylaminocarbonyl, and phenyl C₁₋₄ alkoxycarbonyl;

[0074] R⁸, at each occurrence, is selected from H, C₁₋₆ alkyl, and —(CH₂)_(n)-phenyl;

[0075] alternatively, R⁷ and R⁸, when attached to the same nitrogen, combine to form a 5 or 6 membered saturated ring consisting of carbon atoms and 0-2 additional heteroatoms selected from the group consisting of N, O, and S(O)_(p);

[0076] R⁹, at each occurrence, is selected from H, C₁₋₆ alkyl, and —(CH₂)_(n)-phenyl;

[0077] n, at each occurrence, is selected from 0, 1, 2, and 3;

[0078] p, at each occurrence, is selected from 0, 1, and 2;

[0079] r, at each occurrence, is selected from 0, 1, 2, 3, 4, 5 and 6;

[0080] t, at each occurrence, is selected from 0, 1, 2, and 3; and

[0081] provided that:

[0082] (a) when M₁ is a carbonyl and G is substituted with an amidino, guanidino, amino-ethylene, or amino-propylene group, any of which may be substituted or cyclized, then G₁ is present or Z is other than alkylene; or

[0083] (b) when M₁ is a carbonyl and G₁ is absent, then Z is other than alkylene;

[0084] alternatively, when

[0085] (a) B is other than an optionally substituted carbocycle; and,

[0086] (b) G₁ is (CR³R^(3a))_(u)NR^(3b)(CR³R^(3a))_(w), (CR³R^(3a))_(u)C(O)NR^(3b)(CR³R^(3a))_(w), (CR³R^(3a))_(u)NR^(3b)C(O) (CR³R^(3a))_(w), (CR³R^(3a))_(u)S(O)NR^(3b)(CR³R^(3a))_(w), (CR³R^(3a))_(u)S(O)₂NR^(3b)(CR³R^(3a))_(w), or (CR³R^(3a))_(u)NR^(3b)S(O)₂(CR³R^(3a))_(w); u+w is 1, 2, 3, or 4;

[0087] then Z is other than (CH₂)NR^(3b), NR^(3b)(CH₂), (CH₂)NR^(3b)(CH₂), (CH₂)(CH₂)NR^(3b), NR^(3b)(CH₂)(CH₂), (CH₂)_(q)C(O)NR^(3b)(CH₂)_(m), (CH₂)_(q)NR^(3b)C(O)(CH₂)_(m), (CH₂)_(q)SO₂NR^(3b)(CH₂)_(m), or (CH₂)_(q)NR^(3b)SO₂(CH₂)_(m);

[0088] alternatively, when

[0089] (a) B is other than an optionally substituted carbocycle; and,

[0090] (b) Z is ((CH₂)NR^(3b), NR^(3b)(CH₂), (CH₂)NR^(3b)(CH₂), (CH₂)(CH₂)NR^(3b), NR^(3b)(CH₂)(CH₂), (CH₂)_(q)C(O)NR^(3b)(CH₂)_(m), (CH₂)_(q)NR^(3b)C(O)(CH₂)_(m), (CH₂)_(q)SO₂NR^(3b)(CH₂)_(m), or (CH₂)_(q)NR^(3b)SO₂(CH₂)_(m);

[0091] then G₁ is other than (CR³R^(3a))_(u)NR^(3b)(CR³R^(3a))_(w), (CR³R^(3a))_(u)C(O)NR^(3b)(CR³R^(3a))_(w), (CR³R^(3a))_(u)NR^(3b)C(O)(CR³R^(3a))_(w), (CR³R^(3a))_(u)S(O)NR^(3b)(CR³R^(3a))_(w), (CR³R^(3a))_(u)S(O)₂NR^(3b)(CR³R^(3a))_(w), or (CR³R^(3a))_(u)NR^(3b)S(O)₂(CR³R^(3a))_(w); u+w is 1, 2, 3, or 4.

[0092] [2] In another embodiment, the present invention provides a novel compound of Formula (Ia):

[0093] or a stereoisomer or pharmaceutically acceptable salt thereof, wherein:

[0094] ring M, including M₁ and M₂, is a 5, 6, or 7 membered carbocycle or heterocycle, consisting of: carbon atoms, 0-3 double bonds, 0-2 carbonyl groups, and 0-3 heteroatoms selected from O, S(O)_(p), N, and NZ²; and ring M is substituted with 0-1 R³;

[0095] M₁ is C(O), CH, CH₂, O, N, SO or SO₂;

[0096] M₂ is C, CH, or N;

[0097] ring P, including P₁, is a 5, 6, or 7 membered non-aromatic carbocycle or heterocycle, consisting of: carbon atoms, 0-2 double bonds, 0-2 carbonyl groups, and 0-3 heteroatoms selected from O, S(O)_(p), N, and NH and ring P is substituted with 0-2 R^(1a); and,

[0098] P₁ is C or N.

[0099] [3] In another embodiment, the present invention provides a novel compound, wherein:

[0100] ring M is substituted with 0-1 R³ and is selected from the group:

[0101] Z² is selected from H, C₁₋₄ alkyl, phenyl, benzyl, S(O)₂NHR³, C(O)NHR³, C(O)OR^(3f), S(O)R^(3f), and S(O)₂R^(3f);

[0102] ring P is substituted with 0-1 R^(1a) and is selected from the group:

[0103] G₁ is absent or is selected from (CR³R^(3a))₁₋₃, (CR³R^(3a))_(u)C(O)(CR³R^(3a))_(w), (CR³R^(3a))_(u)O(CR³R^(3a))_(w), (CR³R^(3a))_(u)NR^(3b)(CR³R^(3a))_(w), (CR³R^(3a))_(u)C(O)NR^(3b)(CR³R^(3a))_(w), (CR³R^(3a))_(u)NR^(3b)C(O)(CR³R^(3a))_(w), (CR³R^(3a))_(u)NR^(3b)C(O)(CR³R^(3a))_(u)C(O)NR^(3b)(CR³R^(3a))_(w), (CR³R^(3a))_(u)S(CR³R^(3a))_(w), (CR³R^(3a))_(u)S(O)(CR³R^(3a))_(w), (CR³R^(3a))_(u)S(O)₂(CR³R^(3a))_(w), (CR³R^(3a))_(u)S(O)NR^(3b)(CR³R^(3a))_(w), and (CR³R^(3a))_(u)NR^(3b)S(O)₂(CR³R^(3a))_(w), wherein (u+w) or (u+u+w) is 0, 1, or 2, provided that G₁ does not form a N—S, NCH₂N, NCH₂O, or NCH₂S bond with either group to which it is attached;

[0104] ring G is selected from:

[0105] A is selected from one of the following carbocycles and heterocycles which are substituted with 0-2 R⁴;

[0106] phenyl, piperidinyl, piperazinyl, pyridyl, pyrimidyl, furanyl, morpholinyl, thiophenyl, pyrrolyl, pyrrolidinyl, oxazolyl, isoxazolyl, thiazolyl, isothiazolyl, pyrazolyl, imidazolyl, 1,2,3-oxadiazolyl, 1,2,4-oxadiazolyl, 1,2,5-oxadiazolyl, 1,3,4-oxadiazolyl, 1,2,3-thiadiazolyl, 1,2,4-thiadiazolyl, 1,2,5-thiadiazolyl, 1,3,4-thiadiazolyl, 1,2,3-triazolyl, 1,2,4-triazolyl, 1,2,5-triazolyl, 1,3,4-triazolyl, benzofuranyl, benzothiofuranyl, indolinyl, indolyl, benzimidazolyl, benzoxazolyl, benzthiazolyl, indazolyl, benzisoxazolyl, benzisothiazolyl, and isoindazolyl;

[0107] B is selected from Y, X—Y, CH₂NR²R^(2a), and CH₂CH₂NR²R^(2a);

[0108] X is selected from —(CR²R^(2a))₁₋₄—, —C(O)—, —C(═NR^(1c))—, —CR²(NR²R^(2a))—, —C(O)CR²R^(2a)—, —CR²R^(2a)C(O), —C(O)NR²—, —NR²C(O—, —C(O)NR²CR²R^(2a)—, —NR²C(O)CR²R^(2a)—, —CR²R^(2a)C(O)NR²—, —CR²R^(2a)NR²C(O)—, —NR²C(O)NR²—, —NR²—, —NR²CR²R^(2a)—, —CR²R^(2a)NR²—, O, —CR²R^(2a)O—, and —OCR²R^(2a)—;

[0109] Y is NR²R^(2a), provided that X—Y do not form a N—N or O—N bond;

[0110] alternatively, Y is selected from one of the following carbocycles and heterocycles which are substituted with 0-2 R^(4a);

[0111] cylcopropyl, cyclopentyl, cyclohexyl, phenyl, piperidinyl, piperazinyl, pyridyl, pyrimidyl, furanyl, morpholinyl, thiophenyl, pyrrolyl, pyrrolidinyl, oxazolyl, isoxazolyl, isoxazolinyl, thiazolyl, isothiazolyl, pyrazolyl, imidazolyl, 1,2,3-oxadiazolyl, 1,2,4-oxadiazolyl, 1,2,5-oxadiazolyl, 1,3,4-oxadiazolyl, 1,2,3-thiadiazolyl, 1,2,4-thiadiazolyl, 1,2,5-thiadiazolyl, 1,3,4-thiadiazolyl, 1,2,3-triazolyl, 1,2,4-triazolyl, 1,2,5-triazolyl, 1,3,4-triazolyl, benzofuranyl, benzothiofuranyl, indolinyl, indolyl, benzimidazolyl, benzoxazolyl, benzthiazolyl, indazolyl, benzisoxazolyl, benzisothiazolyl, and isoindazolyl;

[0112] alternatively, Y is selected from the following bicyclic heteroaryl ring systems:

[0113] K is selected from O, S, NH, and N;

[0114] Z is selected from CH₂O, OCH₂, NH, CH₂NH, NHCH₂, CH₂C(O), C(O)CH₂, C(O)NH, NHC(O), CH₂S(O)₂, S(O)₂(CH₂), SO₂NH, and NHSO₂, provided that Z does not form a N—S, NCH₂N, NCH₂O, or NCH₂S bond with either group to which it is attached;

[0115] alternatively, when

[0116] (a) B is other than an optionally substituted carbocycle; and,

[0117] (b) G₁ is (CH₂)_(u)NR^(3b)(CH₂)_(w), (CH₂)_(u)C(O)NR^(3b)(CH₂)_(w), (CH₂)_(u)NR^(3b)C(O)(CH₂)_(w), (CH₂)_(u)S(O)NR^(3b)(CH₂)_(w), (CH₂)_(u)S(O)₂NR^(3b)(CH₂)_(w), or (CH₂)_(u)NR^(3b)S(O)₂(CH₂)_(w); and (u+w) is 1 or 2;

[0118] then Z is other than CH₂NH, NHCH₂, C(O)NH, NHC(O), CH₂S(O)₂, S(O)₂(CH₂), SO₂NH, and NHSO₂;

[0119] alternatively, when

[0120] (a) B is other than an optionally substituted carbocycle; and,

[0121] (b) Z is CH₂NH, NHCH₂, C(O)NH, NHC(O), CH₂S(O)₂, S(O)₂(CH₂), SO₂NH, and NHSO₂;

[0122] then G₁ is other than (CH₂)_(u)NR^(3b)(CH₂)_(w), (CH₂)_(u)C(O)NR^(3b)(CH₂)_(w), (CH₂)_(u)NR^(3b)C(O)(CH₂)_(w), (CH₂)_(u)S(O)NR^(3b)(CH₂)_(w), (CH₂)_(u)S(O)₂NR^(3b)(CH₂)_(w), or (CH₂)_(u)NR^(3b)S(O)₂(CH₂)_(w); and (u+w) is 1 or 2.

[0123] In another embodiment, the present invention provides a novel compound, wherein:

[0124] ring M is substituted with 0-1 R³ and is selected from the group:

[0125] In another embodiment, the present invention provides a novel compound, wherein:

[0126] ring M is substituted with 0-2 R³ and is selected from the group:

[0127] In another embodiment, the present invention provides a novel compound, wherein:

[0128] ring P is substituted with 0-1 R^(1a) and is selected from the group:

[0129] In another embodiment, the present invention provides a novel compound, wherein:

[0130] ring P is substituted with 0-1 R^(1a) and is selected from the group:

[0131] [4] In another embodiment, the present invention provides a novel compound, wherein:

[0132] rings P—M are substituted with 0-1 R^(1a) and are selected from the group:

[0133] G₁ is absent or is selected from CH₂, CH₂CH₂, CH₂O, OCH₂, NH, CH₂NH, NHCH₂, CH₂C(O), C(O)CH₂, C(O)NH, NHC(O), CH₂S(O)₂, S(O)₂(CH₂), SO₂NH, and NHSO₂, provided that G₁ does not form a N—S, NCH₂N, NCH₂O, or NCH₂S bond with either group to which it is attached;

[0134] ring G is selected from:

[0135] alternatively, when

[0136] (a) B is other than an optionally substituted carbocycle; and,

[0137] (b) G₁ is CH₂NH, NHCH₂, C(O)NH, NHC(O), CH₂S(O)₂, S(O)₂(CH₂), SO₂NH, and NHSO₂;

[0138] then Z is other than CH₂NH, NHCH₂, C(O)NH, NHC(O), CH₂S(O)₂, S(O)₂(CH₂), SO₂NH, and NHSO₂;

[0139] alternatively, when

[0140] (a) B is other than an optionally substituted carbocycle; and,

[0141] (b) Z is CH₂NH, NHCH₂, C(O)NH, NHC(O), CH₂S(O)₂, S(O)₂(CH₂), SO₂NH, and NHSO₂;

[0142] then G₁ is other than CH₂NH, NHCH₂, C(O)NH, NHC(O), CH₂S(O)₂, S(O)₂(CH₂), SO₂NH, and NHSO₂.

[0143] [5] In another embodiment, the present invention provides a novel compound, wherein:

[0144] rings P—M are substituted with 0-1 R^(1a) and are selected from the group:

[0145] G₁ is absent; and

[0146] ring G is selected from:

[0147] [6] In another embodiment, the present invention provides a novel compound, wherein:

[0148] A is selected from phenyl, pyridyl, and pyrimidyl, and is substituted with 0-2 R⁴; and,

[0149] B is selected from X—Y, phenyl, pyrrolidino, morpholino, 1,2,3-triazolyl, imidazolyl, and benzimidazolyl and is substituted with 0-1 R^(4a);

[0150] X is CH₂ or C(O);

[0151] Y is selected from pyrrolidino and morpholino;

[0152] R², at each occurrence, is selected from H, CH₃, CH₂CH₃, cyclopropylmethyl, cyclobutyl, and cyclopentyl;

[0153] R^(2a), at each occurrence, is H or CH₃;

[0154] alternatively, R² and R^(2a), together with the atom to which they are attached, combine to form pyrrolidine substituted with 0-2 R^(4b);

[0155] R⁴, at each occurrence, is selected from OH, (CH₂)_(r)OR², halo, C₁₋₄ alkyl, (CH₂)_(r)NR²R^(2a), and (CF₂)_(r)CF₃;

[0156] R^(4a) is selected from C₁₋₄ alkyl, CF₃, (CH₂)_(r)OR², (CH₂)_(r)NR²R^(2a), S(O)_(p)R^(5a), SO₂NR²R^(2a), and 1-CF₃-tetrazol-2-yl;

[0157] R^(4b), at each occurrence, is selected from H, CH₃, and OH;

[0158] R⁵, at each occurrence, is selected from CF₃, C₁₋₆ alkyl, phenyl, and benzyl;

[0159] p, at each occurrence, is selected from 0, 1, and 2; and

[0160] r, at each occurrence, is selected from 0, 1, and 2.

[0161] [7] In another embodiment, the present invention provides a novel compound, wherein:

[0162] A is selected from the group: phenyl, 2-pyridyl, 3-pyridyl, 2-pyrimidyl, 2-Cl-phenyl, 3-Cl-phenyl, 2-F-phenyl, 3-F-phenyl, 2-methylphenyl, 2-aminophenyl, and 2-methoxyphenyl; and,

[0163] B is selected from the group: 2-(aminosulfonyl)phenyl, 2-(methylaminosulfonyl)phenyl, 1-pyrrolidinocarbonyl, 2-(methylsulfonyl)phenyl, 2-(N,N-dimethylaminomethyl)phenyl, 2-(N,N-diethylaminomethyl)phenyl, 2-(N-methylaminomethyl)phenyl, 2-(N-ethyl-N-methylaminomethyl)phenyl, 2-(N-pyrrolidinylmethyl)phenyl, 1-methyl-2-imidazolyl, 2-methyl-1-imidazolyl, 2-(N,N-dimethylaminomethyl)-1-imidazolyl, 2-(N-methylaminomethyl)-1-imidazolyl, 2-(N-(cyclopropylmethyl)aminomethyl)phenyl, 2-(N-(cyclobutyl)aminomethyl)phenyl, 2-(N-(cyclopentyl)aminomethyl)phenyl, 2-(N-(4-hydroxypiperidinyl)methyl)phenyl, 2-(N-(3-hydroxypyrrolidinyl)methyl)phenyl, and 2-(N-(2-hydroxyethyl)methylamino)-methyl)phenyl.

[0164] [8] In another embodiment, the present invention provides a novel compound or a pharmaceutically acceptable salt thereof, selected from:

[0165] 4-(4-methoxyphenyl)-1-methyl-6-{2′-[(methylamino)methyl]-1,1′-biphenyl-4-yl}-1,2,4,6-tetrahydropyrido[3,4-b]pyrazine-3,5-dione;

[0166] 4-(4-methoxyphenyl)-1-methyl-6-[2′-(1-pyrrolidinylmethyl)-1,1′-biphenyl-4-yl}-1,2,4,6-tetrahydropyrido[3,4-b]pyrazine-3,5-dione;

[0167] 6-[2′-(methylsulfonyl)-1-1′-biphenyl-4-yl]-4-(4-methoxy-phenyl)-2,3,4,6-tetrahydropyrido[3,4-b]pyrazin-5(1H)-one;

[0168] 3-{5-[2′-(methylsulfonyl)-1,1′-biphenyl-4-yl]-2,4-dioxo-1,2,4,5-tetrahydro-3H-imidazo[4,5-c]pyridin-3-yl}benzenecarboximidamide;

[0169] 3-[7-[2′-(methylsulfonyl)-1,1′-biphenyl-4-yl]-8-oxo-3,4,7,8-tetrahydro-1,7-naphthyridin-1(2-H)-yl]}benzenecarboximidamide;

[0170] 3-[6-[2′-(methylsulfonyl)-1,1′-biphenyl-4-yl]-5-oxo-2,3,5,6-tetrahydropyrido[3,4-b]-pyrazin-4(1H) -yl]benzenecarboximidamide;

[0171] 3-[6-[2′-(methylsulfonyl)-1,1′-biphenyl-4-yl]-5-oxo-2,3,5,6-tetrahydropyrido-4H-pyrido[4,3-b][1,4]-oxazin-4-yl}benzenecarboximidamide;

[0172] 3-[6-[2′-(methylsulfonyl)-1,1′-biphenyl-4-yl]-2,5-dioxo-2,3,5,6-tetrahydropyrido[3,4-b]pyrazin-4(1H)-yl]benzenecarboximidamide;

[0173] 3-[6-[2′-(methylsulfonyl)-1,1′-biphenyl-4-yl]-3,5-dioxo-2,3,5,6-tetrahydropyrido-4H-pyrido[4,3-b][1,4]-oxazin-4-yl}benzenecarboximidamide;

[0174] 3-[6-[2′-(methylsulfonyl)-1,1′-biphenyl-4-yl]-3,5-dioxo-2,3,5,6-tetrahydropyrido[3,4-b]pyrazin-4(1H)-yl]benzenecarboximidamide; and

[0175] 3-[6-[2′-(methylsulfonyl)-1,1′-biphenyl-4-yl]-2,2-dioxido-5-oxo-5,6-dihydro-1H-pyrido[4,3-c][1,2,5]thiadiazin-4(3H)-yl]benzenecarboximidamide.

[0176] In another embodiment, the present invention provides novel pharmaceutical compositions, comprising: a pharmaceutically acceptable carrier and a therapeutically effective amount of a compound of the present invention or a pharmaceutically acceptable salt thereof.

[0177] In another embodiment, the present invention provides a novel method for treating a thromboembolic disorder, comprising: administering to a patient in need thereof a therapeutically effective amount of a compound of the present invention or a pharmaceutically acceptable salt thereof.

[0178] In another embodiment, the thromboembolic disorder is selected from the group consisting of arterial cardiovascular thromboembolic disorders, venous cardiovascular thromboembolic disorders, arterial cerebrovascular thromboembolic disorders, and venous cerebrovascular thromboembolic disorders.

[0179] In another embodiment, the thromboembolic disorder is selected unstable angina, first myocardial infarction, recurrent myocardial infarction, ischemic sudden death, transient ischemic attack, stroke, atherosclerosis, venous thrombosis, deep vein thrombosis, thrombophlebitis, arterial embolism, coronary arterial thrombosis, cerebral arterial thrombosis, cerebral embolism, kidney embolism, pulmonary embolism, and thrombosis resulting from (a) prosthetic valves or other implants, (b) indwelling catheters, (c) stents, (d) cardiopulmonary bypass, (e) hemodialysis, and (f) other procedures in which blood is exposed to an artificial surface that promotes thrombosis.

[0180] In another embodiment, the present invention provides a novel method of treating a patient in need of thromboembolic disorder treatment, comprising: administering a compound of the present invention or a pharmaceutically acceptable salt thereof in an amount effective to treat a thromboembolic disorder.

[0181] In another embodiment, the present invention provides a novel method, comprising: administering a compound of the present invention or a pharmaceutically acceptable salt thereof in an amount effective to treat a thromboembolic disorder.

[0182] In another embodiment, the present invention provides novel compounds as described above for use in therapy.

[0183] In another embodiment, the present invention provides the use of novel compounds as described above for the manufacture of a medicament for the treatment of a thromboembolic disorder.

[0184] This invention also encompasses all combinations of preferred aspects of the invention noted herein. It is understood that any and all embodiments of the present invention may be taken in conjunction with any other embodiment to describe additional even more preferred embodiments of the present invention. It is also understood that each and every element of any embodiment is intended to be a separate specific embodiment. Furthermore, any elements of an embodiment are meant to be combined with any and all other elements from any of the embodiments to describe additional embodiments.

Definitions

[0185] The compounds herein described may have asymmetric centers. Compounds of the present invention containing an asymmetrically substituted atom may be isolated in optically active or racemic forms. It is well known in the art how to prepare optically active forms, such as by resolution of racemic forms or by synthesis from optically active starting materials. Many geometric isomers of olefins, C═N double bonds, and the like can also be present in the compounds described herein, and all such stable isomers are contemplated in the present invention. Cis and trans geometric isomers of the compounds of the present invention are described and may be isolated as a mixture of isomers or as separated isomeric forms. All chiral, diastereomeric, racemic forms and all geometric isomeric forms of a structure are intended, unless the specific stereochemistry or isomeric form is specifically indicated. All processes used to prepare compounds of the present invention and intermediates made therein are considered to be part of the present invention. Tautomers of compounds shown or described herein are considered to be part of the present invention.

[0186] Preferably, the molecular weight of compounds of the present invention is less than about 500, 550, 600, 650, 700, 750, 800, 850, and 900 grams per mole. More preferably, the molecular weight is less than about 850 grams per mole. Even more preferably, the molecular weight is less than about 750 grams per mole. Still more preferably, the molecular weight is less than about 700 grams per mole.

[0187] The term “substituted,” as used herein, means that any one or more hydrogens on the designated atom is replaced with a selection from the indicated group, provided that the designated atom's normal valency is not exceeded, and that the substitution results in a stable compound. When a substituent is keto (i.e, ═O), then 2 hydrogens on the atom are replaced. Keto substituents are not present on aromatic moieties.

[0188] The present invention is intended to include all isotopes of atoms occurring in the present compounds. Isotopes include those atoms having the same atomic number but different mass numbers. By way of general example and without limitation, isotopes of hydrogen include tritium and deuterium. Isotopes of carbon include C-13 and C-14.

[0189] When any variable (e. g, R⁶) occurs more than one time in any constituent or formula for a compound, its definition at each occurrence is independent of its definition at every other occurrence. Thus, for example, if a group is shown to be substituted with 0-2 R⁶, then said group may optionally be substituted with up to two R⁶ groups and R⁶ at each occurrence is selected independently from the definition of R⁶. Also, combinations of substituents and/or variables are permissible only if such combinations result in stable compounds.

[0190] When a bond to a substituent is shown to cross a bond connecting two atoms in a ring, then such substituent may be bonded to any atom on the ring. When a substituent is listed without indicating the atom via which such substituent is bonded to the rest of the compound of a given formula, then such substituent may be bonded via any atom in such substituent. Combinations of substituents and/or variables are permissible only if such combinations result in stable compounds.

[0191] In cases wherein there are amines on the compounds of this invention, these can be converted to amine N-oxides by treatment with MCPBA and or hydrogen peroxides to afford other compounds of this invention. Thus, all shown amines are considered to cover both the shown amine and its N-oxide (N→O) derivative.

[0192] As used herein, “alkyl” or “alkylene” is intended to include both C₁₋₁₀ branched and straight-chain saturated aliphatic hydrocarbon groups having the specified number of carbon atoms. C₁₋₁₀ alkyl, is intended to include C₁, C₂, C₃, C₄, C₅, C₆, C₇, C₈, C₉, and C₁₀ alkyl groups. Examples of alkyl include, but are not limited to, methyl, ethyl, n-propyl, i-propyl, n-butyl, s-butyl, t-butyl, n- and s-pentyl, n- and s-heptyl, and, n- and s-octyl. “Haloalkyl” is intended to include both branched and straight-chain saturated aliphatic hydrocarbon groups having the specified number of carbon atoms, substituted with 1 or more halogen (for example —C_(V)F_(w) where v=1 to 3 and w=1 to (2v+1)). Examples of haloalkyl include, but are not limited to, trifluoromethyl, trichloromethyl, pentafluoroethyl, and pentachloroethyl. “Alkoxy” represents an alkyl group as defined above with the indicated number of carbon atoms attached through an oxygen bridge. C₁₋₁₀ alkoxy, is intended to include C₁, C₂, C₃, C₄, C₅, C₆, C₇, C₈, C₉, and C₁₀ alkoxy groups. Examples of alkoxy include, but are not limited to, methoxy, ethoxy, n-propoxy, i-propoxy, n-butoxy, s-butoxy, t-butoxy, n-pentoxy, and s-pentoxy. “Cycloalkyl” is intended to include saturated ring groups, such as cyclopropyl, cyclobutyl, or cyclopentyl. C₃₋₇ cycloalkyl is intended to include C₃, C₄, C₅, C₆, and C₇ cycloalkyl groups. “Alkenyl” or “alkenylene” is intended to include hydrocarbon chains of either straight or branched configuration and one or more unsaturated carbon-carbon bonds that may occur in any stable point along the chain, such as ethenyl and propenyl. C₂₋₁₀ alkenyl is intended to include C₂, C₃, C₄, C₅, C₆, C₇, C₈, C₉, and C₁₀ alkenyl groups. “Alkynyl” or “alkynylene” is intended to include hydrocarbon chains of either straight or branched configuration and one or more triple carbon-carbon bonds that may occur in any stable point along the chain, such as ethynyl and propynyl. C₂₋₁₀ Alkynyl is intended to include C₂, C₃, C₄, C₅, C₆, C₇, C₈, C₉, and C₁₀ alkynyl groups.

[0193] “Halo” or “halogen” as used herein refers to fluoro, chloro, bromo, and iodo; and “counterion” is used to represent a small, negatively charged species such as chloride, bromide, hydroxide, acetate, and sulfate.

[0194] As used herein, “carbocycle” or “carbocyclic residue” is intended to mean any stable 3, 4, 5, 6, or 7-membered monocyclic or bicyclic or 7, 8, 9, 10, 11, 12, or 13-membered bicyclic or tricyclic, any of which may be saturated, partially unsaturated, or aromatic. Examples of such carbocycles include, but are not limited to, cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, cycloheptyl, adamantyl, cyclooctyl, [3.3.0]bicyclooctane, [4.3.0]bicyclononane, [4.4.0]bicyclodecane, [2.2.2]bicyclooctane, fluorenyl, phenyl, naphthyl, indanyl, adamantyl, and tetrahydronaphthyl.

[0195] As used herein, the term “heterocycle” or “heterocyclic system” is intended to mean a stable 5, 6, or 7-membered monocyclic or bicyclic or 7, 8, 9, or 10, 11, or 12-membered bicyclic or tricyclic heterocyclic ring which is saturated, partially unsaturated or unsaturated (aromatic), and which consists of carbon atoms and 1, 2, 3, or 4 heteroatoms independently selected from the group consisting of N, NH, O and S and including any bicyclic group in which any of the above-defined heterocyclic rings is fused to a benzene ring. The nitrogen and sulfur heteroatoms may optionally be oxidized. The nitrogen atom may be substituted or unsubstituted (i.e., N or NR wherein R is H or another substituent if defined). The heterocyclic ring may be attached to its pendant group at any heteroatom or carbon atom that results in a stable structure. The heterocyclic rings described herein may be substituted on carbon or on a nitrogen atom if the resulting compound is stable. A nitrogen in the heterocycle may optionally be quaternized. It is preferred that when the total number of S and O atoms in the heterocycle exceeds 1, then these heteroatoms are not adjacent to one another. It is preferred that the total number of S and O atoms in the heterocycle is not more than 1. As used herein, the term “aromatic heterocyclic system” or “heteroaryl” is intended to mean a stable 5, 6, or 7-membered monocyclic or bicyclic or 7, 8, 9, or 10-membered bicyclic heterocyclic aromatic ring which consists of carbon atoms and 1, 2, 3, or 4 heteroatoms independently selected from the group consisting of N, NH, O and S. It is to be noted that total number of S and O atoms in the aromatic heterocycle is not more than 1.

[0196] Examples of heterocycles include, but are not limited to, acridinyl, azocinyl, benzimidazolyl, benzofuranyl, benzothiofuranyl, benzothiophenyl, benzoxazolyl, benzoxazolinyl, benzthiazolyl, benztriazolyl, benztetrazolyl, benzisoxazolyl, benzisothiazolyl, benzimidazolinyl, carbazolyl, 4aH-carbazolyl, carbolinyl, chromanyl, chromenyl, cinnolinyl, decahydroquinolinyl, 2H,6H-1,5,2-dithiazinyl, dihydrofuro[2,3-b]-tetrahydrofuran, furanyl, furazanyl, imidazolidinyl, imidazolinyl, imidazolyl, 1H-indazolyl, indolenyl, indolinyl, indolizinyl, indolyl, 3H-indolyl, isatinoyl, isobenzofuranyl, isochromanyl, isoindazolyl, isoindolinyl, isoindolyl, isoquinolinyl, isothiazolyl, isoxazolyl, methylenedioxyphenyl, morpholinyl, naphthyridinyl, octahydroisoquinolinyl, oxadiazolyl, 1,2,3-oxadiazolyl, 1,2,4-oxadiazolyl, 1,2,5-oxadiazolyl, 1,3,4-oxadiazolyl, oxazolidinyl, oxazolyl, oxindolyl, pyrimidinyl, phenanthridinyl, phenanthrolinyl, phenazinyl, phenothiazinyl, phenoxathinyl, phenoxazinyl, phthalazinyl, piperazinyl, piperidinyl, piperidonyl, 4-piperidonyl, piperonyl, pteridinyl, purinyl, pyranyl, pyrazinyl, pyrazolidinyl, pyrazolinyl, pyrazolyl, pyridazinyl, pyridooxazole, pyridoimidazole, pyridothiazole, pyridinyl, pyridyl, pyrimidinyl, pyrrolidinyl, pyrrolinyl, 2H-pyrrolyl, pyrrolyl, quinazolinyl, quinolinyl, 4H-quinolizinyl, quinoxalinyl, quinuclidinyl, tetrahydrofuranyl, tetrahydroisoquinolinyl, tetrahydroquinolinyl, tetrazolyl, 6H-1,2,5-thiadiazinyl, 1,2,3-thiadiazolyl, 1,2,4-thiadiazolyl, 1,2,5-thiadiazolyl, 1,3,4-thiadiazolyl, thianthrenyl, thiazolyl, thienyl, thienothiazolyl, thienooxazolyl, thienoimidazolyl, thiophenyl, triazinyl, 1,2,3-triazolyl, 1,2,4-triazolyl, 1,2,5-triazolyl, 1,3,4-triazolyl, and xanthenyl. Also included are fused ring and spiro compounds containing, for example, the above heterocycles.

[0197] The term “independently selected from”, “independently, at each occurrence” or similar language, means that the labeled R substitution group may appear more than once and that each appearance may be a different atom or molecule found in the definition of that labeled R substitution group. Thus if the labeled R⁶ substitution group appear four times in a given permutation of Formula (I), then each of those labeled R⁶ substitution groups may be a different group falling in the definition of R⁶.

[0198] The phrase “pharmaceutically acceptable” is employed herein to refer to those compounds, materials, compositions, and/or dosage forms which are, within the scope of sound medical judgment, suitable for use in contact with the tissues of human beings and animals without excessive toxicity, irritation, allergic response, or other problem or complication, commensurate with a reasonable benefit/risk ratio.

[0199] As used herein, “pharmaceutically acceptable salts” refer to derivatives of the disclosed compounds wherein the parent compound is modified by making acid or base salts thereof. Examples of pharmaceutically acceptable salts include, but are not limited to, mineral or organic acid salts of basic residues such as amines; alkali or organic salts of acidic residues such as carboxylic acids; and the like. The pharmaceutically acceptable salts include the conventional non-toxic salts or the quaternary ammonium salts of the parent compound formed, for example, from non-toxic inorganic or organic acids. For example, such conventional non-toxic salts include those derived from inorganic acids such as hydrochloric, hydrobromic, sulfuric, sulfamic, phosphoric, nitric and the like; and the salts prepared from organic acids such as acetic, propionic, succinic, glycolic, stearic, lactic, malic, tartaric, citric, ascorbic, pamoic, maleic, hydroxymaleic, phenylacetic, glutamic, benzoic, salicylic, sulfanilic, 2-acetoxybenzoic, fumaric, toluenesulfonic, methanesulfonic, ethane disulfonic, oxalic, isethionic, and the like.

[0200] The pharmaceutically acceptable salts of the present invention can be synthesized from the parent compound that contains a basic or acidic moiety by conventional chemical methods. Generally, such salts can be prepared by reacting the free acid or base forms of these compounds with a stoichiometric amount of the appropriate base or acid in water or in an organic solvent, or in a mixture of the two; generally, non-aqueous media like ether, ethyl acetate, ethanol, isopropanol, or acetonitrile are preferred. Lists of suitable salts are found in Remington's Pharmaceutical Sciences, 17th ed, Mack Publishing Company, Easton, Pa., 1985, p. 1418, the disclosure of which is hereby incorporated by reference.

[0201] Since prodrugs are known to enhance numerous desirable qualities of pharmaceuticals (e. g, solubility, bioavailability, manufacturing, etc.) the compounds of the present invention may be delivered in prodrug form. Thus, the present invention is intended to cover prodrugs of the presently claimed compounds, methods of delivering the same and compositions containing the same. “Prodrugs” are intended to include any covalently bonded carriers that release an active parent drug of the present invention in vivo when such prodrug is administered to a mammalian subject. Prodrugs the present invention are prepared by modifying functional groups present in the compound in such a way that the modifications are cleaved, either in routine manipulation or in vivo, to the parent compound. Prodrugs include compounds of the present invention wherein a hydroxy, amino, or sulfhydryl group is bonded to any group that, when the prodrug of the present invention is administered to a mammalian subject, it cleaves to form a free hydroxyl, free amino, or free sulfhydryl group, respectively. Examples of prodrugs include, but are not limited to, acetate, formate and benzoate derivatives of alcohol and amine functional groups in the compounds of the present invention.

[0202] “Stable compound” and “stable structure” are meant to indicate a compound that is sufficiently robust to survive isolation to a useful degree of purity from a reaction mixture, and formulation into an efficacious therapeutic agent.

[0203] “Substituted” is intended to indicate that one or more hydrogens on the atom indicated in the expression using “substituted” is replaced with a selection from the indicated group(s), provided that the indicated atom's normal valency is not exceeded, and that the substitution results in a stable compound. When a substituent is keto (i.e, ═O) group, then 2 hydrogens on the atom are replaced.

[0204] As used herein, “treating” or “treatment” cover the treatment of a disease-state in a mammal, particularly in a human, and include: (a) preventing the disease-state from occurring in a mammal, in particular, when such mammal is predisposed to the disease-state but has not yet been diagnosed as having it; (b) inhibiting the disease-state, i.e., arresting it development; and/or (c) relieving the disease-state, i.e., causing regression of the disease state.

[0205] “Therapeutically effective amount” is intended to include an amount of a compound of the present invention or an amount of the combination of compounds claimed effective to inhibit factor Xa. The combination of compounds is preferably a synergistic combination. Synergy, as described, for example, by Chou and Talalay, Adv. Enzyme Regul. 1984, 22:27-55, occurs when the effect (in this case, inhibition of factor Xa) of the compounds when administered in combination is greater than the additive effect of the compounds when administered alone as a single agent. In general, a synergistic effect is most clearly demonstrated at sub-optimal concentrations of the compounds. Synergy can be in terms of lower cytotoxicity, increased antiviral effect, or some other beneficial effect of the combination compared with the individual components.

Synthesis

[0206] The compounds of the present invention can be prepared in a number of ways known to one skilled in the art of organic synthesis. The compounds of the present invention can be synthesized using the methods described below, together with synthetic methods known in the art of synthetic organic chemistry, or by variations thereon as appreciated by those skilled in the art. Preferred methods include, but are not limited to, those described below. The reactions are performed in a solvent appropriate to the reagents and materials employed and suitable for the transformations being effected. It will be understood by those skilled in the art of organic synthesis that the functionality present on the molecule should be consistent with the transformations proposed. This will sometimes require a judgment to modify the order of the synthetic steps or to select one particular process scheme over another in order to obtain a desired compound of the invention. It will also be recognized that another major consideration in the planning of any synthetic route in this field is the judicious choice of the protecting group used for protection of the reactive functional groups present in the compounds described in this invention. An authoritative account describing the many alternatives to the trained practitioner is Greene and Wuts (Protective Groups In Organic Synthesis, Wiley and Sons, 1991). All references cited herein are hereby incorporated in their entirety herein by reference.

[0207] A general procedure for making the compounds of the present invention is illustrated in Scheme 1. Detailed description of the procedure is demonstrated by Example 1.

[0208] Other features of the invention will become apparent in the course of the following descriptions of exemplary embodiments that are given for illustration of the invention and are not intended to be limiting thereof.

EXAMPLES Example 1 4-(4-methoxyphenyl)-1-methyl-6-{2′-[(methylamino)methyl]-1,1′-biphenyl-4-yl}-1,2,4,6-tetrahydropyrido[3,4-b]pyrazine-3,5-dione

[0209]

[0210] Part A. To a stirred suspension of the 4-chloro-3-nitro-1H-pyridin-2-one (5.0 g, 28.6 mmol) in ethanol (100 mL) was added sacosine ethyl ester HCl salt (4.8 g, 31.25 mmol) and TEA (12.0 mL, 85.94 mmol). The reaction mixture was heated at reflux for 2 hr. The resultant dark green solution was cooled to rt. The crystal material was filtered off, washed with EtOAc and dried to provide the corresponding lactam (4.23 g, 58%). ¹H NMR (300 MHz, CDCl₃) δ7.34 (1H, d, J=7.7 Hz), 5.88 (1H, d, J=7.7 Hz), 4.27 (2H, q, J=6.9 Hz), 4.04 (2H, s), 3.05 (3H, s), 1.31 (3H, t, J=6.9 Hz) ppm.

[0211] Part B. Dry air was bubbled through a mixture of the pyridinone (2.0 g, 9.57 mmol) made above. 4-iodophenyl boronic acid (3.54 g, 14.3 mmol), Et₃N (2.67 mL, 19.14 mmol) and pyridine (1.51 mL, 19.14 mmol) in CH₂Cl₂ (50 mL) were added for 15 min. Molecular sieves (4 Å) were added. Dry air was bubbled through the mixture for an additional 10 min. Then, Cu(OAc)₂ (3.47 g, 19.14 mmol) was added and the reaction mixture was stirred at 25° C. for 36 hr. The resultant green suspension was filtered through celite, concentrated, and purified by column chromatography (eluting with 1:1 acetone/hexanes) to give the corresponding pyridinone as a yellow solid (2.4 g, 55%): ¹H-NMR (300 MHz, CDCl₃) δ7.79 (2H, d, J=8.4 Hz), 7.20 (1H, d, J=8.1 Hz), 7.11 (2H, d, J=8.4 Hz), 5.78 (1H, d, J=8.1 Hz), 4.28 (2H, q, J=7.3 Hz), 4.05 (2, s), 3.07 (3H, s), 1.33 (3H, t, J=7.3 Hz) ppm.

[0212] Part C. A mixture of the nitro pyridinone made above (2.73 g, 5.97 mmol) and tin (II) chloride dihydrate (5.39 g, 23.88 mmol) in 100 mL of methanol was refluxed overnight. The reaction mixture was quenched with 1N NaOH, filtered through a plug of Celite. The filtration was seperated and the water layer was extracted with methylene chloride. The organics were washed with brine, dried over MgSO₄, filtered, and concentrated to provide the crude amide (1.8 g, 79%).

[0213] Part D. A mixture of 4-methoxyphenyl boronic acid (398 mg, 2.62 mmol) and molecular sieves (4 Å, 300 mg) in CH₂Cl₂ (20 mL) was stirred at 25° C. for 20 min. To this suspension pyridine (0.21 mL), Et₃N (0.37 mL), Cu(OAc)₂ (0.48 g) , and the amide (0.50 g, 1.31 mmol) made above were added consecutively. The suspension was stirred at room temperature for 2 hr. The reaction mixture was absorbed onto silica and purified by column chromatography (eluting first with 1:1 acetone/hexane) to provide the desired compound as a yellow solid (550 mg, 86%): ¹H NMR (300 MHz, CDCl₃) δ7.70 (2H, d, J=8.4 Hz), 7.15 (2H, d, J=8.4 Hz), 7.14 (1H, d, J=7.7 Hz), 7.15 (2H, d, J=8.8 Hz), 3.85 (2H, d, J=8.8 Hz), 6.10 (1H, d, J=7.7 Hz), 3.91 (2H, s), 3.76 (3H, s), 3.03 (3H, s) ppm.

[0214] Part E. To a mixture of the phenyl iodide (0.50 g, 1.026 mmol) made above, 2-formyl-phenyl boronic acid (0.308 g, 2.05 mmol), K₃PO₄ (300 mg) and dioxane (25 mL), Pd(PPh₃)₄ (167 mg) were added under an argon atmosphere. The reaction mixture was stirred at reflux for 20 hr then diluted with EtOAc, washed with saturated NaHCO₃ solution and water, dried over MgSO₄, and concentrated. The residue was purified by column chromatography (eluting with 2:1 hexanes/acetone) to provide the biphenyl sulfonamide as a yellow solid.

[0215] Part F. A mixture of the crude aldehyde (220 mg, 0.473 mmol) and methylamine (0.47 mL of 2M solution in THF, 0.945 mmol) in 10 mL of THF-MeOH (1:1) solution was treated with ZnCl₂ (0.47 mL, 1M solution in ether, 0.47 mmol), at rt, for 30 min. NaBH₃CN (59 mg, 0.945 mmol) was added to the mixture. The resultant mixture was stirred overnight and then concentrated to dry. The residue was quenched with 1N NaOH and extracted with CH₂Cl₂. The organic layer was washed with brine, dried over MgSO₄, and concentrated. The residue was purified by RP-HPLC to provide the desired amine as a solid (32 mg, 37% in 2 steps): ¹H NMR (300 MHz, CD₃OD) δ7.57˜7.48 (4H, m), 7.42˜7.33 (5H, m), 7.10 (2H, d, J=9.2 Hz), 6.85 (2H, d, J=9.2 Hz), 6.46 (1H, d, J=7.7 Hz), 4.17 (2H, s), 3.97 (2H, s), 3.74 (3H, s), 3.09 (3H, s), 2.50 (3H, s) ppm; ESI MS m/z 481 [M+H]⁺.

Example 2 4-(4-methoxyphenyl)-1-methyl-6-[2′-(1-pyrrolidinylmethyl)-1,1′-biphenyl-4-yl}-1,2,4,6-tetrahydropyrido[3,4-b]pyrazine-3,5-dione

[0216]

[0217] The title compound was prepared according to the procedures described for Example 1: ¹H NMR (300 MHz, CD₃OD) δ7.64˜7.61 (1H, m), 7.54˜7.48 (3H, m), 7.42˜7.34 (5H, m), 7.10 (2H, d, J=9.1 Hz), 6.87 (2H, d, J=9.1 Hz), 6.46 (1H, d, J=7.7 Hz), 4.38 (2H, s), 3.97 (2H, s), 3.75 (3H, s), 3.33 (2H, m), 3.09 (3H, s), 2.78 (2H, m), 1.92˜1.83 (4, m) ppm; ESI MS m/z 521 [M+H]⁺.

[0218] Compounds of this invention can also be prepared as outlined in Schemes 2-4. In Scheme 2, reaction of 1 with an appropriately substituted thiol leads to the intermediate, that is treated with dibromoethane under basic conditions, followed by MCPBA oxidation to afford 2. Reaction of 1 with an appropriately substituted amine leads to the intermediate that is treated with acrylate chloride under basic conditions to afford 3 and 4 as a mixture of regioisomers. Similarly, reaction of 1 with an appropriately substituted alcohol or amine leads to the intermediate, that is treated with dibromoethane under basic conditions to afford 8. Reaction of the same amine intermediate with phosgene leads to compound 7 and reaction with malonic acid under standard amide bond coupling conditions affords 9.

[0219] Preparation of the compounds in this scheme commences by the Suzuki reaction of appropriately substituted boronic acid of P₂ with 10 (synthesis described by Knight, D., et. al. Tetrahedron Asymmetry, 1993, p.625). Mild base hydrolysis, followed by the amide bond formation under standard conditions leads to compound 11. Reductive amination generates the intermediate 12, which upon treatment with bromo acetyl chloride in a presence of a base affords 15 and 16 as a mixture of regioisomers. Reaction of 12 with SO₂Cl₂ provides 14 and reaction with phosgene affords 13.

[0220] Preparation of the compounds in this scheme is done according to the methodology described in Scheme 3 using 17 (synthesis described by Cooper, J. et. al. J. Chem. Soc., Chem. Comm. 1988, p.509) as a starting material and led to the compounds 20-23 of this invention.

[0221] The A—B moieties can be prepared by methods known to those of skill in the art. The following publications, the contents of which are incorporated herein by reference, describe and exemplify means of preparing A—B moieties: WO97/23212, WO97/30971, WO97/38984, WO98/06694, WO98/01428, WO98/28269, WO98/28282, WO99/12903, WO98/57934, WO98/57937, WO98/57951, WO99/32454, WO99/50255, WO00/38683, WO00/39102, WO00/39108, WO00/39131, and WO01/05784.

[0222] The following nomenclature is intended for group A in the following tables.

[0223] Table 1 demonstrates representative examples in Formula (I). TABLE 1

P₂ is Z—A—B, wherein Z is a bond; M₃ is —G₁—G, wherein G₁ is a bond; G is 4-(methoxy)phenyl; Ex # A B 1 phenyl 2-(NH₂SO₂)phenyl 2 phenyl 2-(CH₃SO₂)phenyl 3 phenyl 3-NH₂SO₂-4-pyridyl 4 phenyl 3-CH₃SO₂-4-pyridyl 5 phenyl 2-(CH₃NH)phenyl 6 phenyl 2-((CH₃)₂NCH₂)phenyl 7 phenyl 3-((CH₃)₂NCH₂)-4-pyridyl 8 phenyl 2-((CH₃SO₂)N(CH₃)CH₂)phenyl 9 phenyl 2-((CH₃C(O))N(CH₃)CH₂)phenyl 10 phenyl 2-(N-(3-R—HO-pyrrolidinyl)CH₂)phenyl 11 phenyl 2-(N-(4-HO-piperidinyl)CH₂)phenyl 12 phenyl 2-(CH₃NHC(O)N(CH₃)CH₂)phenyl 13 phenyl 1-CH₃-2-imidazolyl 14 2-pyridyl 2-(NH₂SO₂)phenyl 15 2-pyridyl 2-(CH₃SO₂)phenyl 16 2-pyridyl 3-NH₂SO₂-4-pyridyl 17 2-pyridyl 3-CH₃SO₂-4-pyridyl 18 2-pyridyl 2-(CH₃NH)phenyl 19 2-pyridyl 2-((CH₃)₂NCH₂)phenyl 20 2-pyridyl 3-((CH₃)₂NCH₂)-4-pyridyl 21 2-pyridyl 2-((CH₃SO₂)N(CH₃)CH₂)phenyl 22 2-pyridyl 2-((CH₃C(O))N(CH₃)CH₂)phenyl 23 2-pyridyl 2-(N-(3-R—HO-pyrrolidinyl)CH₂)phenyl 24 2-pyridyl 2-(N-(4-HO-piperidinyl)CH₂)phenyl 25 2-pyridyl 2-(CH₃NHC(O)N(CH₃)CH₂)phenyl 26 2-pyridyl 1-CH₃-2-imidazolyl 27 3-pyridyl 2-(NH₂SO₂)phenyl 28 3-pyridyl 2-(CH₃SO₂)phenyl 29 3-pyridyl 3-NH₂SO₂-4-pyridyl 30 3-pyridyl 3-CH₃SO₂-4-pyridyl 31 3-pyridyl 2-(CH₃NH)phenyl 32 3-pyridyl 2-((CH₃)₂NCH₂)phenyl 33 3-pyridyl 3-((CH₃)₂NCH₂)-4-pyridyl 34 3-pyridyl 2-((CH₃SO₂)N(CH₃)CH₂)phenyl 35 3-pyridyl 2-((CH₃C(O))N(CH₃)CH₂)phenyl 36 3-pyridyl 2-(N-(3-R—HO-pyrrolidinyl)CH₂)phenyl 37 3-pyridyl 2-(N-(4-HO-piperidinyl)CH₂)phenyl 38 3-pyridyl 2-(CH₃NHC(O)N(CH₃)CH₂)phenyl 39 3-pyridyl 1-CH₃-2-imidazolyl 40 2-pyrimidyl 2-(NH₂SO₂)phenyl 41 2-pyrimidyl 2-(CH₃SO₂)phenyl 42 2-pyrimidyl 3-NH₂SO₂-4-pyridyl 43 2-pyrimidyl 3-CH₃SO₂-4-pyridyl 44 2-pyrimidyl 2-(CH₃NH)phenyl 45 2-pyrimidyl 2-((CH₃)₂NCH₂)phenyl 46 2-pyrimidyl 3-((CH₃)₂NCH₂)-4-pyridyl 47 2-pyrimidyl 2-((CH₃SO₂)N(CH₃)CH₂)phenyl 48 2-pyrimidyl 2-((CH₃C(O))N(CH₃)CH₂)phenyl 49 2-pyrimidyl 2-(N-(3-R—HO-pyrrolidinyl)CH₂)phenyl 50 2-pyrimidyl 2-(N-(4-HO-piperidinyl)CH₂)phenyl 51 2-pyrimidyl 2-(CH₃NHC(O)N(CH₃)CH₂)phenyl 52 2-pyrimidyl 1-CH₃-2-imidazolyl 53 5-pyrimidyl 2-(NH₂SO₂)phenyl 54 5-pyrimidyl 2-(CH₃SO₂)phenyl 55 5-pyrimidyl 3-NH₂SO₂-4-pyridyl 56 5-pyrimidyl 3-CH₃SO₂-4-pyridyl 57 5-pyrimidyl 2-(CH₃NH)phenyl 58 5-pyrimidyl 2-((CH₃)₂NCH₂)phenyl 59 5-pyrimidyl 3-((CH₃)₂NCH₂)-4-pyridyl 60 5-pyrimidyl 2-((CH₃SO₂)N(CH₃)CH₂)phenyl 61 5-pyrimidyl 2-((CH₃C(O))N(CH₃)CH₂)phenyl 62 5-pyrimidyl 2-(N-(3-R-HO-pyrrolidinyl)CH₂)phenyl 63 5-pyrimidyl 2-(N-(4-HO-piperidinyl)CH₂)phenyl 64 5-pyrimidyl 2-(CH₃NHC(O)N(CH₃)CH₂)phenyl 65 5-pyrimidyl 1-CH₃-2-imidazolyl 66 2-Cl-phenyl 2-(NH₂SO₂)phenyl 67 2-Cl-phenyl 2-(CH₃SO₂)phenyl 68 2-Cl-phenyl 3-NH₂SO₂-4-pyridyl 69 2-Cl-phenyl 3-CH₃SO₂-4-pyridyl 70 2-Cl-phenyl 2-(CH₃NH)phenyl 71 2-Cl-phenyl 2-((CH₃)₂NCH₂)phenyl 72 2-Cl-phenyl 3-((CH₃)₂NCH₂)-4-pyridyl 73 2-Cl-phenyl 2-((CH₃SO₂)N(CH₃)CH₂)phenyl 74 2-Cl-phenyl 2-((CH₃C(O))N(CH₃)CH₂)phenyl 75 2-Cl-phenyl 2-(N-(3-R—HO-pyrrolidinyl)CH₂)phenyl 76 2-Cl-phenyl 2-(N-(4-HO-piperidinyl)CH₂)phenyl 77 2-Cl-phenyl 2-(CH₃NHC(O)N(CH₃)CH₂)phenyl 78 2-Cl-phenyl 1-CH₃-2-imidazolyl 79 2-F-phenyl 2-(NH₂SO₂)phenyl 80 2-F-phenyl 2-(CH₃SO₂)phenyl 81 2-F-phenyl 3-NH₂SO₂-4-pyridyl 82 2-F-phenyl 3-CH₃SO₂-4-pyridyl 83 2-F-phenyl 2-(CH₃NH)phenyl 84 2-F-phenyl 2-((CH₃)₂NCH₂)phenyl 85 2-F-phenyl 3-((CH₃)₂NCH₂)-4-pyridyl 86 2-F-phenyl 2-((CH₃SO₂)N(CH₃)CH₂)phenyl 87 2-F-phenyl 2-((CH₃C(O))N(CH₃)CH₂)phenyl 88 2-F-phenyl 2-(N-(3-R—HO-pyrrolidinyl)CH₂)phenyl 89 2-F-phenyl 2-(N-(4-HO-piperidinyl)CH₂)phenyl 90 2-F-phenyl 2-(CH₃NHC(O)N(CH₃)CH₂)phenyl 91 2-F-phenyl 1-CH₃-2-imidazolyl 92 2,6-diF-phenyl 2-(NH₂SO₂)phenyl 93 2,6-diF-phenyl 2-(CH₃SO₂)phenyl 94 2,6-diF-phenyl 3-NH₂SO₂-4-pyridyl 95 2,6-diF-phenyl 3-CH₃SO₂-4-pyridyl 96 2,6-diF-phenyl 2-(CH₃NH)phenyl 97 2,6-diF-phenyl 2-((CH₃)₂NCH₂)phenyl 98 2,6-diF-phenyl 3-((CH₃)₂NCH₂)-4-pyridyl 99 2,6-diF-phenyl 2-((CH₃SO₂)N(CH₃)CH₂)phenyl 100 2,6-diF-phenyl 2-((CH₃C(O))N(CH₃)CH₂)phenyl 101 2,6-diF-phenyl 2-(N-(3-R—HO-pyrrolidinyl)CH₂)phenyl 102 2,6-diF-phenyl 2-(N-(4-HO-piperidinyl)CH₂)phenyl 103 2,6-diF-phenyl 2-(CH₃NHC(O)N(CH₃)CH₂)phenyl 104 2,6-diF-phenyl 1-CH₃-2-imidazolyl Examples 105-1864 use the corresponding A and B groups from Examples 1-104 and the recited G group. Examples 105-208, G is 2-(aminomethyl)phenyl; Examples 209-312, G is 3-(aminomethyl)phenyl; Examples 313-416, G is 4-(aminomethyl)phenyl; Examples 417-520, G is 2-(aminomethyl)-3-F-phenyl; Examples 521-624, G is 2-(aminomethyl)-4-F-phenyl; Examples 625-728, G is 2-(aminomethyl)-5-F-phenyl; Examples 729-832, G is 2-(aminomethyl)-6-F-phenyl; Examples 833-936, G is 3-CN-phenyl; Examples 937-1040, G is 4-CN-phenyl; Examples 1041-1144, G is 3-amino-4-Cl-phenyl; Examples 1145-1248, G is 3-amidino-phenyl; Examples 1249-1352, G is 4-amidino-phenyl; Examples 1353-1456, G is 1-aminoisoquinolin-6-yl; Examples 1457-1560, G is 1-aminoisoquinolin-7-yl; Examples 1561-1664, G is 4-aminoquinazol-6-yl; Examples 1665-1768, G is 4-aminoquinazol-7-yl; Examples 1769-1872, G is 3-aminobenzisoxazol-5-yl; Examples 1873-1986, G is 3-aminobenzisoxazol-6-yl; Examples 1987-2090, G is 3-aminoisobenzazol-5-yl; and, Examples 2091-2194, G is 3-aminoisobenzazol-6-yl.

Utility

[0224] The compounds of this invention are useful as anticoagulants for the treatment or prevention of thromboembolic disorders in mammals. In general, a thromboembolic disorder is a circulatory disease caused by blood clots (i.e., diseases involving platelet activation and/or platelet aggregation). The term “thromboembolic disorders” as used herein includes arterial cardiovascular thromboembolic disorders, venous cardiovascular thromboembolic disorders, arterial cerebrovascular thromboembolic disorders, and venous cerebrovascular thromboembolic disorders. The term “thromboembolic disorders” as used herein includes specific disorders selected from, but not limited to, unstable angina, first myocardial infarction, recurrent myocardial infarction, ischemic sudden death, transient ischemic attack, stroke, atherosclerosis, venous thrombosis, deep vein thrombosis, thrombophlebitis, arterial embolism, coronary arterial thrombosis, cerebral arterial thrombosis, cerebral embolism, kidney embolism, pulmonary embolism, and thrombosis resulting from (a) prosthetic valves or other implants, (b) indwelling catheters, (c) stents, (d) cardiopulmonary bypass, (e) hemodialysis, or (f) other procedures in which blood is exposed to an artificial surface that promotes thrombosis. It is noted that thrombosis includes occlusion (e.g. after a bypass) and reocclusion (e.g., during or after percutaneous transluminal coronary angioplasty). The anticoagulant effect of compounds of the present invention is believed to be due to inhibition of factor Xa or thrombin.

[0225] The effectiveness of compounds of the present invention as inhibitors of factor Xa was determined using purified human factor Xa and synthetic substrate. The rate of factor Xa hydrolysis of chromogenic substrate S2222 (Diapharma/Chromogenix, West Chester, Ohio) was measured both in the absence and presence of compounds of the present invention. Hydrolysis of the substrate resulted in the release of pNA, which was monitored spectrophotometrically by measuring the increase in absorbance at 405 nM. A decrease in the rate of absorbance change at 405 nm in the presence of inhibitor is indicative of enzyme inhibition. The results of this assay are expressed as inhibitory constant, K_(i).

[0226] Factor Xa determinations were made in 0.10 M sodium phosphate buffer, pH 7.5, containing 0.20 M NaCl, and 0.5% PEG 8000. The Michaelis constant, K_(m), for substrate hydrolysis was determined at 25° C. using the method of Lineweaver and Burk. Values of K_(i) were determined by allowing 0.2-0.5 nM human factor Xa (Enzyme Research Laboratories, South Bend, Ind.) to react with the substrate (0.20 mM-1 mM) in the presence of inhibitor. Reactions were allowed to go for 30 minutes and the velocities (rate of absorbance change vs time) were measured in the time frame of 25-30 minutes. The following relationship was used to calculate K_(i) values:

(v _(o) −v _(s))/v _(s) +I/(K _(i) (1+S/K _(m)))

[0227] where:

[0228] v_(o) is the velocity of the control in the absence of inhibitor;

[0229] v_(s) is the velocity in the presence of inhibitor;

[0230] I is the concentration of inhibitor;

[0231] K_(i) is the dissociation constant of the enzyme:inhibitor complex;

[0232] S is the concentration of substrate;

[0233] K_(m) is the Michaelis constant.

[0234] Compounds tested in the above assay are considered to be active if they exhibit a K_(i) of ≦10 μM. Preferred compounds of the present invention have K_(i)'s of ≦1 μM. More preferred compounds of the present invention have K_(i)s's of ≦0.1 μM. Even more preferred compounds of the present invention have K_(i)'s of ≦0.01 μM. Still more preferred compounds of the present invention have K_(i)'s of ≦0.001 μM. Using the methodology described above, a number of compounds of the present invention were found to exhibit a K_(i) of ≦10 μM, thereby confirming the utility of the compounds of the present invention as effective Xa inhibitors.

[0235] The antithrombotic effect of compounds of the present invention can be demonstrated in a rabbit arterio-venous (AV) shunt thrombosis model. In this model, rabbits weighing 2-3 kg anesthetized with a mixture of xylazine (10 mg/kg i.m.) and ketamine (50 mg/kg i.m.) are used. A saline-filled AV shunt device is connected between the femoral arterial and the femoral venous cannulae. The AV shunt device consists of a piece of 6-cm tygon tubing that contains a piece of silk thread. Blood will flow from the femoral artery via the AV-shunt into the femoral vein. The exposure of flowing blood to a silk thread will induce the formation of a significant thrombus. After forty minutes, the shunt is disconnected and the silk thread covered with thrombus is weighed. Test agents or vehicle will be given (i.v., i.p., s.c., or orally) prior to the opening of the AV shunt. The percentage inhibition of thrombus formation is determined for each treatment group. The ID50 values (dose which produces 50% inhibition of thrombus formation) are estimated by linear regression.

[0236] The compounds of the present invention may also be useful as inhibitors of serine proteases, notably human thrombin, Factor VIIa, Factor IXa, plasma kallikrein and plasmin. Because of their inhibitory action, these compounds are indicated for use in the prevention or treatment of physiological reactions, blood coagulation and inflammation, catalyzed by the aforesaid class of enzymes. Specifically, the compounds have utility as drugs for the treatment of diseases arising from elevated thrombin activity such as myocardial infarction, and as reagents used as anticoagulants in the processing of blood to plasma for diagnostic and other commercial purposes.

[0237] Some compounds of the present invention were shown to be direct acting inhibitors of the serine protease thrombin by their ability to inhibit the cleavage of small molecule substrates by thrombin in a purified system. In vitro inhibition constants were determined by the method described by Kettner et al. in J. Biol. Chem. 1990, 265, 18289-18297, herein incorporated by reference. In these assays, thrombin-mediated hydrolysis of the chromogenic substrate S2238 (Helena Laboratories, Beaumont, Tex.) was monitored spectrophotometrically. Addition of an inhibitor to the assay mixture results in decreased absorbance and is indicative of thrombin inhibition. Human thrombin (Enzyme Research Laboratories, Inc., South Bend, Ind.) at a concentration of 0.2 nM in 0.10 M sodium phosphate buffer, pH 7.5, 0.20 M NaCl, and 0.5% PEG 6000, was incubated with various substrate concentrations ranging from 0.20 to 0.02 mM. After 25 to 30 minutes of incubation, thrombin activity was assayed by monitoring the rate of increase in absorbance at 405 nm that arises owing to substrate hydrolysis. Inhibition constants were derived from reciprocal plots of the reaction velocity as a function of substrate concentration using the standard method of Lineweaver and Burk. Using the methodology described above, some compounds of this invention were evaluated and found to exhibit a K_(i) of less than 10 μm, thereby confirming the utility of the compounds of the present invention as effective thrombin inhibitors.

[0238] The compounds of the present invention can be administered alone or in combination with one or more additional therapeutic agents. These include other anti-coagulant or coagulation inhibitory agents, anti-platelet or platelet inhibitory agents, thrombin inhibitors, or thrombolytic or fibrinolytic agents.

[0239] The compounds are administered to a mammal in a therapeutically effective amount. By “therapeutically effective amount” it is meant an amount of a compound of Formula I that, when administered alone or in combination with an additional therapeutic agent to a mammal, is effective to prevent or ameliorate the thromboembolic disease condition or the progression of the disease.

[0240] By “administered in combination” or “combination therapy” it is meant that the compound of Formula I and one or more additional therapeutic agents are administered concurrently to the mammal being treated. When administered in combination each component may be administered at the same time or sequentially in any order at different points in time. Thus, each component may be administered separately but sufficiently closely in time so as to provide the desired therapeutic effect. Other anticoagulant agents (or coagulation inhibitory agents) that may be used in combination with the compounds of this invention include warfarin and heparin, as well as other factor Xa inhibitors such as those described in the publications identified above under Background of the Invention.

[0241] The term anti-platelet agents (or platelet inhibitory agents), as used herein, denotes agents that inhibit platelet function such as by inhibiting the aggregation, adhesion or granular secretion of platelets. Such agents include, but are not limited to, the various known non-steroidal anti-inflammatory drugs (NSAIDS) such as aspirin, ibuprofen, naproxen, sulindac, indomethacin, mefenamate, droxicam, diclofenac, sulfinpyrazone, and piroxicam, including pharmaceutically acceptable salts or prodrugs thereof. Of the NSAIDS, aspirin (acetylsalicyclic acid or ASA), and piroxicam are preferred. Other suitable anti-platelet agents include ticlopidine and clopidogrel, including pharmaceutically acceptable salts or prodrugs thereof. Ticlopidine and clopidogrel are also preferred compounds since they are known to be gentle on the gastro-intestinal tract in use. Still other suitable platelet inhibitory agents include IIb/IIIa antagonists, thromboxane-A2-receptor antagonists and thromboxane-A2-synthetase inhibitors, as well as pharmaceutically acceptable salts or prodrugs thereof.

[0242] The term thrombin inhibitors (or anti-thrombin agents), as used herein, denotes inhibitors of the serine protease thrombin. By inhibiting thrombin, various thrombin-mediated processes, such as thrombin-mediated platelet activation (that is, for example, the aggregation of platelets, and/or the granular secretion of plasminogen activator inhibitor-1 and/or serotonin) and/or fibrin formation are disrupted. A number of thrombin inhibitors are known to one of skill in the art and these inhibitors are contemplated to be used in combination with the present compounds. Such inhibitors include, but are not limited to, heparins, hirudin and argatroban, including pharmaceutically acceptable salts and prodrugs thereof. The term hirudin, as used herein, includes suitable derivatives or analogs of hirudin, referred to herein as hirulogs, such as disulfatohirudin.

[0243] The term thrombolytics (or fibrinolytic) agents (or thrombolytics or fibrinolytics), as used herein, denotes agents that lyse blood clots (thrombi). Such agents include tissue plasminogen activator and modified forms thereof, anistreplase, urokinase or streptokinase, including pharmaceutically acceptable salts or prodrugs thereof. The term anistreplase, as used herein, refers to anisoylated plasminogen streptokinase activator complex, as described, for example, in EP 028,489, the disclosure of which is hereby incorporated herein by reference herein. The term urokinase, as used herein, is intended to denote both dual and single chain urokinase, the latter also being referred to herein as prourokinase.

[0244] Administration of the compounds of the present invention in combination with such additional therapeutic agent, may afford an efficacy advantage over the compounds and agents alone, and may do so while permitting the use of lower doses of each. A lower dosage minimizes the potential of side effects, thereby providing an increased margin of safety.

[0245] The compounds of the present invention are also useful as standard or reference compounds, for example as a quality standard or control, in tests or assays involving the inhibition of factor Xa. Such compounds may be provided in a commercial kit, for example, for use in pharmaceutical research involving factor Xa. For example, a compound of the present invention could be used as a reference in an assay to compare its known activity to a compound with an unknown activity. This would ensure the experimenter that the assay was being performed properly and provide a basis for comparison, especially if the test compound was a derivative of the reference compound. When developing new assays or protocols, compounds according to the present invention could be used to test their effectiveness.

[0246] The compounds of the present invention may also be used in diagnostic assays involving factor Xa. For example, the presence of factor Xa in an unknown sample could be determined by addition of chromogenic substrate S2222 to a series of solutions containing test sample and optionally one of the compounds of the present invention. If production of pNA is observed in the solutions containing test sample, but not in the presence of a compound of the present invention, then one would conclude factor Xa was present.

Dosage and Formulation

[0247] The compounds of this invention can be administered in such oral dosage forms as tablets, capsules (each of which includes sustained release or timed release formulations), pills, powders, granules, elixirs, tinctures, suspensions, syrups, and emulsions. They may also be administered in intravenous (bolus or infusion), intraperitoneal, subcutaneous, or intramuscular form, all using dosage forms well known to those of ordinary skill in the pharmaceutical arts. They can be administered alone, but generally will be administered with a pharmaceutical carrier selected on the basis of the chosen route of administration and standard pharmaceutical practice.

[0248] The dosage regimen for the compounds of the present invention will, of course, vary depending upon known factors, such as the pharmacodynamic characteristics of the particular agent and its mode and route of administration; the species, age, sex, health, medical condition, and weight of the recipient; the nature and extent of the symptoms; the kind of concurrent treatment; the frequency of treatment; the route of administration, the renal and hepatic function of the patient, and the effect desired. A physician or veterinarian can determine and prescribe the effective amount of the drug required to prevent, counter, or arrest the progress of the thromboembolic disorder.

[0249] By way of general guidance, the daily oral dosage of each active ingredient, when used for the indicated effects, will range between about 0.001 to 1000 mg/kg of body weight, preferably between about 0.01 to 100 mg/kg of body weight per day, and most preferably between about 1.0 to 20 mg/kg/day. Intravenously, the most preferred doses will range from about 1 to about 10 mg/kg/minute during a constant rate infusion. Compounds of this invention may be administered in a single daily dose, or the total daily dosage may be administered in divided doses of two, three, or four times daily.

[0250] Compounds of this invention can be administered in intranasal form via topical use of suitable intranasal vehicles, or via transdermal routes, using transdermal skin patches. When administered in the form of a transdermal delivery system, the dosage administration will, of course, be continuous rather than intermittent throughout the dosage regimen.

[0251] The compounds are typically administered in admixture with suitable pharmaceutical diluents, excipients, or carriers (collectively referred to herein as pharmaceutical carriers) suitably selected with respect to the intended form of administration, that is, oral tablets, capsules, elixirs, syrups and the like, and consistent with conventional pharmaceutical practices.

[0252] For instance, for oral administration in the form of a tablet or capsule, the active drug component can be combined with an oral, non-toxic, pharmaceutically acceptable, inert carrier such as lactose, starch, sucrose, glucose, methyl cellulose, magnesium stearate, dicalcium phosphate, calcium sulfate, mannitol, sorbitol and the like; for oral administration in liquid form, the oral drug components can be combined with any oral, non-toxic, pharmaceutically acceptable inert carrier such as ethanol, glycerol, water, and the like. Moreover, when desired or necessary, suitable binders, lubricants, disintegrating agents, and coloring agents can also be incorporated into the mixture. Suitable binders include starch, gelatin, natural sugars such as glucose or beta-lactose, corn sweeteners, natural and synthetic gums such as acacia, tragacanth, or sodium alginate, carboxymethylcellulose, polyethylene glycol, waxes, and the like. Lubricants used in these dosage forms include sodium oleate, sodium stearate, magnesium stearate, sodium benzoate, sodium acetate, sodium chloride, and the like. Disintegrators include, without limitation, starch, methyl cellulose, agar, bentonite, xanthan gum, and the like.

[0253] The compounds of the present invention can also be administered in the form of liposome delivery systems, such as small unilamellar vesicles, large unilamellar vesicles, and multilamellar vesicles. Liposomes can be formed from a variety of phospholipids, such as cholesterol, stearylamine, or phosphatidylcholines.

[0254] Compounds of the present invention may also be coupled with soluble polymers as targetable drug carriers. Such polymers can include polyvinylpyrrolidone, pyran copolymer, polyhydroxypropylmethacrylamide-phenol, polyhydroxyethylaspartamidephenol, or polyethyleneoxide-polylysine substituted with palmitoyl residues. Furthermore, the compounds of the present invention may be coupled to a class of biodegradable polymers useful in achieving controlled release of a drug, for example, polylactic acid, polyglycolic acid, copolymers of polylactic and polyglycolic acid, polyepsilon caprolactone, polyhydroxy butyric acid, polyorthoesters, polyacetals, polydihydropyrans, polycyanoacylates, and crosslinked or amphipathic block copolymers of hydrogels.

[0255] Dosage forms (pharmaceutical compositions) suitable for administration may contain from about 1 milligram to about 100 milligrams of active ingredient per dosage unit. In these pharmaceutical compositions the active ingredient will ordinarily be present in an amount of about 0.5-95% by weight based on the total weight of the composition.

[0256] Gelatin capsules may contain the active ingredient and powdered carriers, such as lactose, starch, cellulose derivatives, magnesium stearate, stearic acid, and the like. Similar diluents can be used to make compressed tablets. Both tablets and capsules can be manufactured as sustained release products to provide for continuous release of medication over a period of hours. Compressed tablets can be sugar coated or film coated to mask any unpleasant taste and protect the tablet from the atmosphere, or enteric coated for selective disintegration in the gastrointestinal tract.

[0257] Liquid dosage forms for oral administration can contain coloring and flavoring to increase patient acceptance.

[0258] In general, water, a suitable oil, saline, aqueous dextrose (glucose), and related sugar solutions and glycols such as propylene glycol or polyethylene glycols are suitable carriers for parenteral solutions. Solutions for parenteral administration preferably contain a water soluble salt of the active ingredient, suitable stabilizing agents, and if necessary, buffer substances. Antioxidizing agents such as sodium bisulfite, sodium sulfite, or ascorbic acid, either alone or combined, are suitable stabilizing agents. Also used are citric acid and its salts and sodium EDTA. In addition, parenteral solutions can contain preservatives, such as benzalkonium chloride, methyl- or propyl-paraben, and chlorobutanol.

[0259] Suitable pharmaceutical carriers are described in Remington's Pharmaceutical Sciences, Mack Publishing Company, a standard reference text in this field.

[0260] Representative useful pharmaceutical dosage-forms for administration of the compounds of this invention can be illustrated as follows:

[0261] Capsules

[0262] A large number of unit capsules can be prepared by filling standard two-piece hard gelatin capsules each with 100 milligrams of powdered active ingredient, 150 milligrams of lactose, 50 milligrams of cellulose, and 6 milligrams magnesium stearate.

[0263] Soft Gelatin Capsules

[0264] A mixture of active ingredient in a digestable oil such as soybean oil, cottonseed oil or olive oil may be prepared and injected by means of a positive displacement pump into gelatin to form soft gelatin capsules containing 100 milligrams of the active ingredient. The capsules should be washed and dried.

[0265] Tablets

[0266] Tablets may be prepared by conventional procedures so that the dosage unit is 100 milligrams of active ingredient, 0.2 milligrams of colloidal silicon dioxide, 5 milligrams of magnesium stearate, 275 milligrams of microcrystalline cellulose, 11 milligrams of starch and 98.8 milligrams of lactose. Appropriate coatings may be applied to increase palatability or delay absorption.

[0267] Injectable

[0268] A parenteral composition suitable for administration by injection may be prepared by stirring 1.5% by weight of active ingredient in 10% by volume propylene glycol and water. The solution should be made isotonic with sodium chloride and sterilized.

[0269] Suspension

[0270] An aqueous suspension can be prepared for oral administration so that each 5 mL contain 100 mg of finely divided active ingredient, 200 mg of sodium carboxymethyl cellulose, 5 mg of sodium benzoate, 1.0 g of sorbitol solution, U.S.P, and 0.025 mL of vanillin.

[0271] Where the compounds of this invention are combined with other anticoagulant agents, for example, a daily dosage may be about 0.1 to 100 milligrams of the compound of Formula I and about 1 to 7.5 milligrams of the second anticoagulant, per kilogram of patient body weight. For a tablet dosage form, the compounds of this invention generally may be present in an amount of about 5 to 10 milligrams per dosage unit, and the second anti-coagulant in an amount of about 1 to 5 milligrams per dosage unit.

[0272] Where the compounds of Formula I are administered in combination with an anti-platelet agent, by way of general guidance, typically a daily dosage may be about 0.01 to 25 milligrams of the compound of Formula I and about 50 to 150 milligrams of the anti-platelet agent, preferably about 0.1 to 1 milligrams of the compound of Formula I and about 1 to 3 milligrams of antiplatelet agents, per kilogram of patient body weight.

[0273] Where the compounds of Formula I are adminstered in combination with thrombolytic agent, typically a daily dosage may be about 0.1 to 1 milligrams of the compound of Formula I, per kilogram of patient body weight and, in the case of the thrombolytic agents, the usual dosage of the thrombolyic agent when administered alone may be reduced by about 70-80% when administered with a compound of Formula I.

[0274] Where two or more of the foregoing second therapeutic agents are administered with the compound of Formula I, generally the amount of each component in a typical daily dosage and typical dosage form may be reduced relative to the usual dosage of the agent when administered alone, in view of the additive or synergistic effect of the therapeutic agents when administered in combination.

[0275] Particularly when provided as a single dosage unit, the potential exists for a chemical interaction between the combined active ingredients. For this reason, when the compound of Formula I and a second therapeutic agent are combined in a single dosage unit they are formulated such that although the active ingredients are combined in a single dosage unit, the physical contact between the active ingredients is minimized (that is, reduced). For example, one active ingredient may be enteric coated. By enteric coating one of the active ingredients, it is possible not only to minimize the contact between the combined active ingredients, but also, it is possible to control the release of one of these components in the gastrointestinal tract such that one of these components is not released in the stomach but rather is released in the intestines. One of the active ingredients may also be coated with a material that affects a sustained-release throughout the gastrointestinal tract and also serves to minimize physical contact between the combined active ingredients. Furthermore, the sustained-released component can be additionally enteric coated such that the release of this component occurs only in the intestine. Still another approach would involve the formulation of a combination product in which the one component is coated with a sustained and/or enteric release polymer, and the other component is also coated with a polymer such as a low-viscosity grade of hydroxypropyl methylcellulose (HPMC) or other appropriate materials as known in the art, in order to further separate the active components. The polymer coating serves to form an additional barrier to interaction with the other component.

[0276] These as well as other ways of minimizing contact between the components of combination products of the present invention, whether administered in a single dosage form or administered in separate forms but at the same time by the same manner, will be readily apparent to those skilled in the art, once armed with the present disclosure.

[0277] Numerous modifications and variations of the present invention are possible in light of the above teachings. It is therefore to be understood that within the scope of the appended claims, the invention may be practiced otherwise that as specifically described herein. 

What is claimed is:
 1. A compound of Formula (I):

or a stereoisomer or pharmaceutically acceptable salt thereof, wherein: ring M, including M₁ and M₂, is a 5, 6, or 7 membered carbocycle or heterocycle, consisting of: carbon atoms, 0-3 double bonds, 0-2 carbonyl groups, and 0-3 heteroatoms selected from O, S(O)_(p), N, and NZ²; and ring M is substituted with 0-2 R³; M₁ is C(O), CH, CH₂, O, N, SO or SO₂; M₂ is C, CH, or N; ring P, including P₁, is a 5, 6, or 7 membered non-aromatic carbocycle or heterocycle, consisting of: carbon atoms, 0-2 double bonds, 0-2 carbonyl groups, and 0-3 heteroatoms selected from O, S(O)_(p), N, and NH; and ring P is substituted with 0-2 R^(1a); P₁ is C or N; one of P₂ and M₃ is —Z—A—B and the other —G₁—G; G₁ is absent or is selected from (CR³R^(3a))₁₋₅, (CR³R^(3a))₀₋₂CR³═CR³(CR³R^(3a))₀₋₂, (CR³R^(3a))₀₋₂C≡C(CR³R^(3a))₀₋₂, (CR³R^(3a))_(u)C(O)(CR³R^(3a))_(w), (CR³R^(3a))_(u)C(O)O(CR³R^(3a))_(w), (CR³R^(3a))_(u)OC(O)(CR³R^(3a))_(w), (CR³R^(3a))_(u)O(CR³R^(3a))_(w), (CR³R^(3a))_(u)NR^(3b)(CR³R^(3a))_(w), (CR³R^(3a))_(u)C(O)NR^(3b)(CR³R^(3a))_(w), (CR³R^(3a))_(u)NR^(3b)C(O)(CR³R^(3a))_(w), (CR³R^(3a))_(u)OC(O)NR^(3b)(CR³R^(3a))_(w), (CR³R^(3a))_(u)NR^(3b)C(O)O(CR³R^(3a))_(w), (CR³R^(3a))_(u)NR^(3b)C(O)NR^(3b)(CR³R^(3a))_(w), (CR³R^(3a))_(u)NR^(3b)C(S)NR³(CR³R^(3a))_(w), (CR³R^(3a))_(u)S(CR³R^(3a))_(w), (CR³R^(3a))_(u)S(O)(CR³R^(3a))_(w), (CR³R^(3a))_(u)S(O)₂(CR³R^(3a))_(w), (CR³R^(3a))_(u)S(O)NR^(3b)(CR³R^(3a))_(w), (CR³R^(3a))_(u)NR^(3b)S(O)₂(CR³R^(3a))_(w), (CR³R^(3a))_(u)S(O)₂NR^(3b)(CR³R^(3a))_(w), (CR³R^(3a))_(u)NR^(3b)S(O)₂NR^(3b)(CR³R^(3a))_(w), (CR³R^(3a))_(u)NR^(3e)(CR³R^(3a))_(w), (CR³R^(3a))_(u)C(O)(CR³R^(3a))_(u)C(O)(CR³R^(3a))_(w), (CR³R^(3a))_(u)NR^(3b)(CR³R^(3a))_(u)C(O)NR^(3b)(CR³R^(3a))_(w), (CR³R^(3a))_(u)NR^(3b)C(O)(CR³R^(3a))_(u)C(O)(CR³R^(3a))_(w), (CR³R^(3a))_(u)C(O)(CR³R^(3a))_(u)C(O)NR^(3b)(CR³R^(3a))_(w), (CR³R^(3a))_(u)NR^(3b)C(O)(CR³R^(3a))_(u)C(O)NR^(3b)(CR³R^(3a))_(w), (CR³R^(3a))_(u)S(O)NR^(3b)C(O)(CR³R^(3a))_(w), (CR³R^(3a))_(u)C(O)NR^(3b)S(O)₂(CR³R^(3a))_(w), and (CR³R^(3a))_(u)S(O)₂NR^(3b)C(O)NR^(3b)CR³R^(3a))_(w), wherein (u+w) or (u+u+w) is 0, 1, 2, 3, or 4, provided that G₁ does not form a N—S, NCH₂N, NCH₂O, or NCH₂S bond with either group to which it is attached; G is a group of formula IIa or IIb:

ring D, including the two atoms of ring E to which it is attached, is a 5-6 membered non-aromatic ring consisting of carbon atoms, 0-1 double bonds, and 0-2 heteroatoms selected from the group consisting of N, O, and S(O)_(p), and ring D is substituted with 0-2 R¹, provided that ring D has other than a O—O, O—S(O)_(p), S(O)_(p)—O, and S(O)_(p)—S(O)_(p), bond; alternatively, ring D, including the two atoms of ring E to which it is attached, is a 5-6 membered aromatic group consisting of carbon atoms and 0-2 heteroatoms selected from the group consisting of N, O, and S(O)_(p), and ring D is substituted with 0-2 R¹; E is selected from phenyl, pyridyl, pyrimidyl, pyrazinyl, and pyridazinyl, and is substituted with 0-1 R¹; alternatively, ring D is absent and ring E is selected from phenyl, pyridyl, pyrimidyl, pyrazinyl, pyridazinyl, pyrrolyl, pyrazolyl, imidazolyl, isoxazolyl, oxazolyl, thiazolyl, thienyl and trizaolyl, and ring E is substituted with 0-2 R^(a); R^(a) is selected from F, Cl, Br, I, OH, OCH₃, OCH₂CH₃, OCH(CH₃)₂, OCH₂CH₂CH₃, CN, C(═NR⁸)NR⁷R⁹, NHC(═NR⁸)NR⁷R⁹, NR⁸CH(═NR⁷), C(O)NR⁷R⁸, (CR⁸R⁹)_(t)NR⁷R⁸, SH, SCH₃, SCH₂CH₃, SCH(CH₃)₂, SCH₂CH₂CH₃, S(O)R^(3b), S(O)₂R^(3a), S(O)₂NR²R^(2a), and OCF₃; alternatively, two R^(a)s combine to form methylenedioxy or ethylenedioxy; alternatively, ring D is absent and ring E is selected from phenyl, pyridyl, pyrimidyl, pyrazinyl, pyridazinyl, and thienyl, and ring E is substituted with 1 R and with a 5-6 membered aromatic heterocycle consisting of: carbon atoms and 1-4 heteroatoms selected from the group consisting of N, O, and S(O)_(p) substituted with 0-1 carbonyl groups and 0-2 R¹; alternatively, ring D is absent and ring E is selected from pyrrolyl, pyrazolyl, imidazolyl, isoxazolyl, oxazolyl, triazolyl, thiophenyl, and thiazolyl, and ring E is substituted with R^(e); R^(e) is selected from CN, C(═NR⁸)NR⁷R⁹, NHC(═NR⁸)NR⁷R⁹, NR⁸CH(═NR⁷), C(O)NR⁷R⁸, and (CR⁸R⁹)_(t)NR⁷R⁸; A is selected from: C₃₋₁₀ carbocycle substituted with 0-2 R⁴, and 5-12 membered heterocycle consisting of carbon atoms and from 1-4 heteroatoms selected from the group consisting of N, O, and S and substituted with 0-2 R⁴; B is selected from: Y, X—Y, (CH₂)₀₋₂C(O)NR²R^(2a), (CH₂)₀₋₂NR²R^(2a), C(═NR²)NR²R^(2a), and NR²C(═NR²)NR²R^(2a), provided that Z and B are attached to different atoms on A; X is selected from —(CR²R^(2a))₁₋₄—, —CR²(CR²R^(2b))(CH₂)_(t)—, —C(O)—, C(═NR^(1c))—, —CR²(NR²R^(2a))—, —CR²(OR²)—, —CR²(SR²)—, —C(O)CR²R^(2a)—, —CR²R^(2a)C(O), —S—, —S(O)—, —S(O)₂—, —SCR²R^(2a)—, —S(O)CR²R^(2a)—, —S(O)₂CR²R^(2a)—, —CR²R^(2a)S—, —CR²R^(2a)S(O)—, —CR²R^(2a)S(O)₂—, —S(O)₂NR²—, —NR²S(O)₂—, —NR²S(O)₂CR²R^(2a)—, —CR²R^(2a)S(O)₂NR²—, —NR²S(O)₂NR²—, —C(O)NR²—, —NR²C(O)—, —C(O)NR²CR²R^(2a)—, —NR²C(O)CR²R^(2a)—, —CR²R^(2a)C(O)NR²—, —CR²R^(2a)NR²C(O)—, —NR²C(O)O—, —OC(O)NR²—, —NR²C(O)NR²—, —NR²—, —NR²CR²R^(2a)—, —CR²R^(2a)NR²—, O, —CR²R^(2a)O—, and —OCR²R^(2a)—; Y is selected from: —(CH₂)_(r)NR²R^(2a); C₃₋₁₀ carbocycle substituted with 0-2 R^(4a); and 5-10 membered heterocycle consisting of carbon atoms and from 1-4 heteroatoms selected from the group consisting of N, O, and S and substituted with 0-2 R^(4a); provided that X—Y do not form a N—N, O—N, or S—N bond; Z is selected from a bond, —(CR³R^(3a))₁₋₄—, (CR³R^(3a))_(q)O(CR³R^(3a))_(m), (CR³R^(3a))_(q)NR^(3b)(CR³R^(3a))_(m), (CR³R^(3a))_(q)C(O)(CR³R^(3a))_(m), (CR³R^(3a))_(q)C(O)O(CR³R^(3a))_(m), (CR³R^(3a))_(q)OC(O)(CR³R^(3a))_(m), (CR³R^(3a))_(q)C(O)NR^(3b)(CR³R^(3a))_(m), (CR³R^(3a))_(q)NR^(3b)C(O)(CR³R^(3a))_(m), (CR³R^(3a))_(q)OC(O)O(CR³R^(3a))_(m), (CR³R^(3a))_(q)OC(O)NR^(3b)(CR²R^(2a))_(m), (CR³R^(3a))_(q)NR^(3b)C(O)O(CR³R^(3a))_(m), (CR³R^(3a))_(q)NR^(3b)C(O)NR^(3b)(CR³R^(3a))_(m), (CR³R^(3a))_(q)C(O)(CR³R^(3a))_(q)C(O)(CR³R^(3a))_(m), (CR³R^(3a))_(q)NR^(3b)(CR³R^(3a))_(q)C(O)NR^(3b)(CR³R^(3a))_(m), (CR³R^(3a))_(q)NR^(3b)C(O)(CR³R^(3a))_(q)C(O)(CR³R^(3a))_(m), (CR³R^(3a))_(q)C(O)(CR³R^(3a))_(q)C(O)NR^(3b)(CR³R^(3a))_(m), (CR³R^(3a))_(q)NR^(3b)C(O)(CR³R^(3a))_(q)C(O)NR^(3b)(CR³R^(3a))_(m), (CR³R^(3a))_(q)S(CR³R^(3a))_(m), (CR³R^(3a))_(q)S(O)(CR³R^(3a))_(m), (CR³R^(3a))_(q)S(O)₂(CR³R^(3a))_(m), (CR³R^(3a))_(q)SO₂NR^(3b)(CR³R^(3a))_(m), (CR³R^(3a))_(q)NR^(3b)SO₂(CR³R^(3a))_(m), (CR³R^(3a))_(q)S(O)NR^(3b)C(O)(CR³R^(3a))_(m), (CR³R^(3a))_(q)C(O)NR^(3b)S(O)₂(CR³R^(3a))_(m), (CR³R^(3a))_(q)NR^(3b)SO₂NR^(3b)(CR³R^(3a))_(m), wherein (q+m) or (q+q+m) is 0, 1, 2, 3, or 4, provided that Z does not form a N—S, NCH₂N, NCH₂O, or NCH₂S bond with either group to which it is attached; Z² is selected from H; S(O)₂NHR³; C(O)R³; C(O)NHR³; C(O)OR^(3f); S(O)R^(3f); S(O)₂R^(3f); C₁₋₆ alkyl substituted with 0-2 R^(1a); C₂₋₆ alkenyl substituted with 0-2 R^(1a); C₂₋₆ alkynyl substituted with 0-2 R^(1a); —(C₀₋₄ alkyl)-C₃₋₁₀-carbocycle substituted with 0-3 R^(1a); —(C₀₋₄ alkyl)-5-12 membered-heterocycle substituted with 0-3 R^(1a) and consisting of: carbon atoms and 1-4 heteroatoms selected from the group consisting of N, O, and S(O)_(p); R is selected from H, C₁₋₄ alkyl, F, Cl, Br, I, OH, OCH₃, OCH₂CH₃, OCH(CH₃)₂, OCH₂CH₂CH₃, CN, C(═NR⁸)NR⁷R⁹, NHC(═NR⁸)NR⁷R⁹, NR⁸CH(═NR⁷), NH₂, NH(C₁₋₃ alkyl), N(C₁₋₃ alkyl)₂, C(═NH)NH₂, CH₂NH₂, CH₂NH(C₁₋₃ alkyl), CH₂N(C₁₋₃ alkyl)₂, CH₂CH₂NH₂, CH₂CH₂NH(C₁₋₃ alkyl), CH₂CH₂N(C₁₋₃ alkyl)₂, (CR⁸R⁹)_(t)C(O)H, (CR⁸R⁹)_(t)C(O)R^(2c), (CR⁸R⁹)_(t)NR⁷R⁸, (CR⁸R⁹)_(t)C(O)NR⁷R⁸, (CR⁸R⁹)_(t)NR⁷C(O)R⁷, (CR⁸R⁹)_(t)OR³, (CR⁸R⁹)_(t)S(O)_(p)NR⁷R⁸, (CR⁸R⁹)_(t)NR⁷S(O)_(p)R⁷, (CR⁸R⁹)_(t)SR³, (CR⁸R⁹)_(t)S(O)R³, (CR⁸R⁹)_(t)S(O)₂R³, and OCF₃; R¹ is selected from F, Cl, Br, I, OH, OCH₃, OCH₂CH₃, OCH(CH₃)₂, OCH₂CH₂CH₃, NH₂, NH(C₁₋₃ alkyl), N(C₁₋₃ alkyl)₂, C(═NH)NH₂, CH₂NH₂, CH₂NH(C₁₋₃ alkyl), CH₂N(C₁₋₃ alkyl)₂, CH₂CH₂NH₂, CH₂CH₂NH(C₁₋₃ alkyl), and CH₂CH₂N(C₁₋₃ alkyl)₂; R^(1a) is selected from H, —(CH₂)_(r)—R^(1b), —(CH₂)_(r)—O—(CH₂)_(r)—R^(1b), —CH═CH—R^(1b), NCH₂R^(1c), NR²R^(2a), OCH₂R^(1c), SCH₂R^(1c), NH(CH₂)₂(CH₂)_(t)R^(1b), C(O)NR²(CH₂)₂(CH₂)_(t)R^(1b), O(CH₂)₂(CH₂)_(t)R^(1b), S(CH₂)₂(CH₂)_(t)R^(1b), S(O)_(p)(CH₂)_(r)R^(1d), O(CH₂)_(r)R^(1d), NR³(CH₂)_(r)R^(1d), OC(O)NR³(CH₂)_(r)R^(1d), NR³C(O)NR³(CH₂)_(r)R^(1d), NR³C(O)O(CH₂)_(r)R^(1d), and NR³C(O)(CH₂)_(r)R^(1d), provided that R^(1a) forms other than an N-halo, N—N, N—S, N—O, or N—CN bond; alternatively, when two R^(la)s are attached to adjacent atoms, together with the atoms to which they are attached they form a 5-7 membered ring consisting of: carbon atoms and 0-2 heteroatoms selected from the group consisting of N, O, and S(O)^(p), this ring being substituted with 0-2 R^(4b), and comprising: 0-3 double bonds; R^(1b) is selected from H, C₁₋₃ alkyl, F, Cl, Br, I, —CN, —CHO, (CF₂)_(r)CF₃, (CH₂)_(r)OR², NR²R^(2a), C(O)R^(2c), OC(O)R², (CF₂)_(r)CO₂R^(2a), S(O)_(p)R^(2b), NR²(CH₂)_(r)OR², C(═NR^(2c))NR²R^(2a), NR²C(O)R^(2b), NR²C(O)NHR^(2b), NR²C(O)₂R^(2a), OC(O)NR^(2a)R^(2b), C(O)NR²R^(2a), C(O)NR²(CH₂)_(r)OR², SO₂NR²R^(2a), NR²SO₂R^(2b), C₃₋₆ carbocycle substituted with 0-2 R^(4a), and 5-10 membered heterocycle consisting of carbon atoms and from 1-4 heteroatoms selected from the group consisting of N, O, and S(O)_(p), substituted with 0-2 R^(4a), provided that R^(1b) forms other than an N-halo, N—N, N—S, N—O, or N—CN bond with the group to which it is attached; R^(1c) is selected from H, CH(CH₂OR²)₂, C(O)R^(2c), C(O)NR²R^(2a), S(O)R^(2b), S(O)₂R^(2b), and SO₂NR²R^(2a); R^(1d) is selected from C₃₋₆ carbocycle substituted with 0-2 R^(4a) and 5-10 membered heterocycle consisting of carbon atoms and from 1-4 heteroatoms selected from the group consisting of N, O, and S(O)_(p) substituted with 0-2 R^(4a), provided that R^(1d) forms other than an N—N, N—S, or N—C bond; R² and R^(2a), at each occurrence, are independently selected from H; CF₃; C₁₋₆ alkyl; benzyl; —(CH₂)_(r)—C₃₋₁₀carbocycle substituted with 0-2 R^(4b); and —(CH₂)_(r)-5-10 membered heterocycle consisting of carbon atoms and from 1-4 heteroatoms selected from the group consisting of N, O, and S substituted with 0-2 R^(4b); alternatively, R² and R^(2a), together with the atom to which they are attached, combine to form a 5 or 6 membered saturated, partially saturated or unsaturated ring substituted with 0-2 R^(4b) and consisting of: carbon atoms and 0-1 additional heteroatoms selected from the group consisting of N, O, and S(O)_(p); R^(2b), at each occurrence, is selected from CF₃, C₁₋₄ alkoxy, C₁₋₆ alkyl substituted with 0-2 R^(4b), —(CH₂)_(r)—C₃₋₁₀ carbocycle substituted with 0-2 R^(4b), and —(CH₂)_(r)-5-10 membered heterocycle consisting of: carbon atoms and 1-4 heteroatoms selected from the group consisting of N, O, and S(O)_(p) and substituted with 0-2 R^(4b); R^(2c), at each occurrence, is selected from CF₃, OH, C₁₋₄ alkoxy, C₁₋₆ alkyl, —(CH₂)_(r)—C₃₋₁₀ carbocycle substituted with 0-2 R^(4b), and —(CH₂)_(r)-5-10 membered heterocyclic system containing from 1-4 heteroatoms selected from the group consisting of N, O, and S(O)_(p) and substituted with 0-2 R^(4b); R³ and R^(3a), at each occurrence, is independently selected from H, C₁₋₄ alkyl, benzyl and phenyl; R^(3b), at each occurrence, is selected from H, C₁₋₆ alkyl substituted with 0-2 R^(1a), C₂₋₆ alkenyl substituted with 0-2 R^(1a), C₂₋₆ alkynyl substituted with 0-2 R^(1a), —(C₀₋₄ alkyl)-5-10 membered carbocycle substituted with 0-3 R^(1a), and —(C₀₋₄ alkyl)-5-10 membered heterocycle substituted with 0-3 R^(1a) and consisting of: carbon atoms and 1-4 heteroatoms selected from the group consisting of N, O, and S(O)_(p); R^(3c), at each occurrence, is selected from C₁₋₄ alkyl, benzyl, and phenyl; R^(3d), at each occurrence, is selected from H, C₁₋₄ alkyl, C₁₋₄ alkyl-phenyl, and C(═O)R^(3c); R^(3e), is selected from H, S(O)₂NHR³, C(O)R³, C(O)NHR³, C(O)OR^(3f), S(O)R^(3f), S(O)₂R^(3f), C₁₋₆ alkyl substituted with 0-2 R^(1a), C₂₋₆ alkenyl substituted with 0-2 R^(1a), C₂₋₆ alkynyl substituted with 0-2 R^(1a), —(C₀₋₄ alkyl)-5-10 membered carbocycle substituted with 0-3 R^(1a), and —(C₀₋₄ alkyl)-5-10 membered heterocycle substituted with 0-3 R^(1a) and consisting of: carbon atoms and 1-4 heteroatoms selected from the group consisting of N, O, and S(O)_(p); R^(3f), at each occurrence, is selected from: C₁₋₆ alkyl substituted with 0-2 R^(1a), C₂₋₆ alkenyl substituted with 0-2 R^(1a), C₂₋₆ alkynyl substituted with 0-2 R^(1a), —(C₀₋₄ alkyl)-5-10 membered carbocycle substituted with 0-3 R^(1a), and —(C₀₋₄ alkyl)-5-10 membered heterocycle substituted with 0-3 R^(1a) and consisting of: carbon atoms and 1-4 heteroatoms selected from the group consisting of N, O, and S(O)_(p); R⁴, at each occurrence, is selected from H, ═O, (CH₂)_(r)OR², F, Cl, Br, I, C₁₋₄ alkyl, (CH₂)_(r)CN, (CH₂)_(r)NO₂, (CH₂)_(r)NR²R^(2a), (CH₂)_(r)C(O)R^(2c), (CH₂)_(r)NR²C(O)R^(2b), (CH₂)_(r)C(O)NR²R^(2a), (CH₂)_(r)NR²C(O)NR²R^(2a), (CH₂)_(r)C(═NR²)NR²R^(2a), (CH₂)_(r)C(═NS(O)₂R⁵)NR²R^(2a), (CH₂)_(r)NHC(═NR²)NR²R^(2a), (CH₂)_(r)C(O)NHC(═NR²)NR²R^(2a), (CH₂)_(r)SO₂NR²R^(2a), (CH₂)_(r)NR²SO₂NR²R^(2a), (CH₂)_(r)NR²SO₂—C₁₋₄ alkyl, (CH₂)_(r)NR²SO₂R⁵, (CH₂)_(r)S(O)_(p)R^(5a), (CF₂)_(r)CF₃, NCH₂R^(1c), OCH₂R^(1c), SCH₂R^(1c), N(CH₂)₂(CH₂)_(t)R^(1b), O(CH₂)₂(CH₂)_(t)R^(1b), S(CH₂)₂(CH₂)_(t)R^(1b), (CR³R^(3a))_(r)-5-6 membered carbocycle substituted with 0-1 R⁵, and a (CR³R^(3a))_(r)-5-6 membered heterocycle consisting of: carbon atoms and 1-4 heteroatoms selected from the group consisting of N, O, and S(O)_(p) and substituted with 0-1 R⁵; R^(4a), at each occurrence, is selected from H, ═O, (CR³R^(3a))_(r)OR², (CR³R^(3a))_(r)F, (CR³R^(3a))_(r)Br, (CR³R^(3a))_(r)Cl, C₁₋₄ alkyl, (CR³R^(3a))_(r)CN, (CR³R^(3a))_(r)NO₂, (CR³R^(3a))_(r)NR²R^(2a), (CR³R^(3a))_(r)C(O)R^(2c), (CR³R^(3a))_(r)NR²C(O)R^(2b), (CR³R^(3a))_(r)C(O)NR²R^(2a), (CR³R^(3a))_(r)N═CHOR³, (CR³R^(3a))_(r)C(O)NH(CH₂)₂NR²R^(2a), (CR³R^(3a))_(r)NR²C(O)NR²R^(2a), (CR³R^(3a))_(r)C(═NR²)NR²R^(2a), (CR³R^(3a))_(r)NHC(═NR²)NR²R^(2a), (CR³R^(3a))_(r)SO₂NR²R^(2a), (CR³R^(3a))_(r)NR²SO₂NR²R^(2a), (CR³R^(3a))_(r)NR²SO₂—C₁₋₄ alkyl, (CR³R^(3a))_(r)C(O)NHSO₂—C₁₋₄ alkyl, (CR³R^(3a))NR²SO₂R⁵, (CR³R^(3a))_(r)S(O)_(p)R^(5a), (CR³R^(3a))_(r)(CF₂)_(r)CF₃, (CR³R^(3a))_(r)-5-6 membered carbocycle substituted with 0-1 R⁵, and a (CR³R^(3a))_(r)-5-6 membered heterocycle consisting of: carbon atoms and 1-4 heteroatoms selected from the group consisting of N, O, and S(O)_(p), and substituted with 0-1 R⁵; R^(4b), at each occurrence, is selected from H, ═O, (CH₂)_(r)OR³, (CH₂)_(r)F, (CH₂)_(r)Cl, (CH₂)_(r)Br, (CH₂)_(r)I, C₁₋₄ alkyl, (CH₂)_(r)CN, (CH₂)_(r)NO₂, (CH₂)_(r)NR³R^(3a), (CH₂)_(r)C(O)R³, (CH₂)_(r)C(O)OR^(3c), (CH₂)_(r)NR³C(O)R^(3a), (CH₂)_(r)C(O)NR³R^(3a), (CH₂)_(r)NR³C(O)NR³R^(3a), (CH₂)_(r)—C(═NR³)NR³R^(3a), (CH₂)_(r)NR³C(═NR³)NR³R^(3a), (CH₂)_(r)SO₂NR³R^(3a), (CH₂)_(r)NR³SO₂NR³R^(3a), (CH₂)_(r)NR³SO₂—C₁₋₄ alkyl, (CH₂)_(r)NR³SO₂CF₃, (CH₂)_(r)NR³SO₂-phenyl, (CH₂)_(r)S(O)_(p)CF₃, (CH₂)_(r)S(O)_(p)—C₁₋₄ alkyl, (CH₂)_(r)S(O)_(p)-phenyl, and (CH₂)_(r)(CF₂)_(r)CF₃; R⁵, at each occurrence, is selected from H, C₁₋₆ alkyl, ═O, (CH₂)_(r)OR³, F, Cl, Br, I, C₁₋₄ alkyl, —CN, NO₂, (CH₂)_(r)NR³R^(3a), (CH₂)_(r)C(O)R³, (CH₂)_(r)C(O)OR^(3c), NR³C(O)R^(3a), C(O)NR³R^(3a), NR³C(O)NR³R^(3a), CH(═NOR^(3d)), C(═NR³)NR³R^(3a), NR³C(═NR³)NR³R^(3a), SO₂NR³R^(3a), NR³SO₂NR³R^(3a), NR³SO₂—C₁₋₄ alkyl, NR³SO₂CF₃, NR³SO₂-phenyl, S(O)_(p)CF₃, S(O)_(p)—C₁₋₄ alkyl, S(O)_(p)-phenyl, (CF₂)_(r)CF₃, phenyl substituted with 0-2 R⁶, naphthyl substituted with 0-2 R⁶, and benzyl substituted with 0-2 R⁶; R^(5a), at each occurrence, is selected from C₁₋₆ alkyl, (CH₂)_(r)OR³, (CH₂)_(r)NR³R^(3a), (CH₂)_(r)C(O)R³, (CH₂)_(r)C(O)OR^(3c), (CH₂)_(r)NR³C(O)R^(3a), (CH₂)_(r)C(O)NR³R^(3a), (CF₂)_(r)CF₃, phenyl substituted with 0-2 R⁶, naphthyl substituted with 0-2 R⁶, and benzyl substituted with 0-2 R⁶, provided that R^(5a) does not form a S—N or S(O)_(p)—C(O) bond; R⁶, at each occurrence, is selected from H, OH, (CH₂)_(r)OR², halo, C₁₋₄ alkyl, CN, NO₂, (CH₂)_(r)NR²R^(2a), (CH₂)_(r)C(O)R^(2b), NR²C(O)R^(2b), NR²C(O)NR²R^(2a), C(═NH)NH₂, NHC(═NH)NH₂, SO₂NR²R^(2a), NR²SO₂NR²R^(2a), and NR²SO₂C₁₋₄ alkyl; R⁷, at each occurrence, is selected from H, OH, C₁₋₆ alkyl, C₁₋₆ alkylcarbonyl, C₁₋₆ alkoxy, C₁₋₄ alkoxycarbonyl, (CH₂)_(n)-phenyl, C₆₋₁₀ aryloxy, C₆₋₁₀ aryloxycarbonyl, C₆₋₁₀ arylmethylcarbonyl, C₁₋₄ alkylcarbonyloxy C₁₋₄ alkoxycarbonyl, C₆₋₁₀ arylcarbonyloxy C₁₋₄ alkoxycarbonyl, C₁₋₆ alkylaminocarbonyl, phenylaminocarbonyl, and phenyl C₁₋₄ alkoxycarbonyl; R⁸, at each occurrence, is selected from H, C₁₋₆ alkyl, and —(CH₂)_(n)-phenyl; alternatively, R⁷ and R⁸, when attached to the same nitrogen, combine to form a 5 or 6 membered saturated ring consisting of carbon atoms and 0-2 additional heteroatoms selected from the group consisting of N, O, and S(O)_(p); R⁹, at each occurrence, is selected from H, C₁₋₆ alkyl, and —(CH₂)_(n)-phenyl; n, at each occurrence, is selected from 0, 1, 2, and 3; p, at each occurrence, is selected from 0, 1, and 2; r, at each occurrence, is selected from 0, 1, 2, 3, 4, 5 and 6; t, at each occurrence, is selected from 0, 1, 2, and 3; and provided that: (a) when M₁ is a carbonyl and G is substituted with an amidino, guanidino, amino-ethylene, or amino-propylene group, any of which may be substituted or cyclized, then G₁ is present or Z is other than alkylene; or (b) when M₁ is a carbonyl and G₁ is absent, then Z is other than alkylene; alternatively, when (a) B is other than an optionally substituted carbocycle; and, (b) G₁ is (CR³R^(3a))_(u)NR^(3b)(CR³R^(3a))_(w), (CR³R^(3a))_(u)C(O)NR^(3b)(CR³R^(3a))_(w), (CR³R^(3a))_(u)NR^(3b)C(O)(CR³R^(3a))_(w), (CR³R^(3a))_(u)S(O)NR^(3b)(CR³R^(3a))_(w), (CR³R^(3a))_(u)S(O)₂NR^(3b)(CR³R^(3a))_(w), or (CR³R^(3a))_(u)NR^(3b)S(O)₂(CR³R^(3a))_(w); u+w is 1, 2, 3, or 4; then Z is other than (CH₂)NR^(3b), NR^(3b)(CH₂), (CH₂)NR^(3b)(CH₂), (CH₂)(CH₂ )NR^(3b), NR^(3b)(CH₂)(CH₂), (CH₂)_(q)C(O)NR^(3b)(CH₂)_(m), (CH₂)_(q)NR^(3b)C(O)(CH₂)_(m), (CH₂)_(q)SO₂NR^(3b)(CH₂)_(m), or (CH₂)_(q)NR^(3b)SO₂(CH₂)_(m); alternatively, when (a) B is other than an optionally substituted carbocycle; and, (b) Z is ((CH₂)NR^(3b), NR^(3b)(CH₂), (CH₂)NR^(3b)(CH₂), (CH₂)(CH₂)NR^(3b), NR^(3b)(CH₂)(CH₂), (CH₂)_(q)C(O)NR^(3b)(CH₂)_(m), (CH₂)_(q)NR^(3b)C(O)(CH₂)_(m), (CH₂)_(q)SO₂NR^(3b)(CH₂)_(m), or (CH₂)_(q)NR^(3b)SO₂(CH₂)_(m); then G₁ is other than (CR³R^(3a))_(u)NR^(3b)(CR³R^(3a))_(w), (CR³R^(3a))_(u)C(O)NR^(3b)(CR³R^(3a))_(w), (CR³R^(3a))_(u)NR^(3b)C(O)(CR³R^(3a))_(w), (CR³R^(3a))_(u)S(O)NR^(3b)(CR³R^(3a))_(w), (CR³R^(3a))_(u)S(O)₂NR^(3b)(CR³R^(3a))_(w), or (CR³R^(3a))_(u)NR^(3b)S(O)₂(CR³R^(3a))_(w); u+w is 1, 2, 3, or
 4. 2. A compound according to claim 1, the compound is of Formula (Ia):

or a stereoisomer or pharmaceutically acceptable salt thereof, wherein: ring M, including M₁ and M₂, is a 5, 6, or 7 membered carbocycle or heterocycle, consisting of: carbon atoms, 0-3 double bonds, 0-2 carbonyl groups, and 0-3 heteroatoms selected from O, S(O)_(p), N, and NZ²; and ring M is substituted with 0-1 R³; M₁ is C(O), CH, CH₂, O, N, SO or SO₂; M₂ is C, CH, or N; ring P, including P₁, is a 5, 6, or 7 membered non-aromatic carbocycle or heterocycle, consisting of: carbon atoms, 0-2 double bonds, 0-2 carbonyl groups, and 0-3 heteroatoms selected from O, S(O)_(p), N, and NH and ring P is substituted with 0-2 R^(1a); and, P₁ is C or N.
 3. A compound of claim 2, wherein: ring M is substituted with 0-1 R³ and is selected from the group:

Z² is selected from H, C₁₋₄ alkyl, phenyl, benzyl, S(O)₂NHR³, C(O)NHR³, C(O)OR^(3f), S(O)R^(3f), and S(O)₂R^(3f); ring P is substituted with 0-1 R^(1a) and is selected from the group:

G₁ is absent or is selected from (CR³R^(3a))₁₋₃, (CR³R^(3a))_(u)C(O)(CR³R^(3a))_(w), (CR³R^(3a))_(u)O(CR³R^(3a))_(w), (CR³R^(3a))_(u)NR^(3b)(CR³R^(3a))_(w), (CR³R^(3a))_(u)C(O)NR^(3b)(CR³R^(3a))_(w), (CR³R^(3a))_(u)NR^(3b)C(O)(CR³R^(3a))_(w), (CR³R^(3a))_(u)NR^(3b)C(O)(CR³R^(3a))_(u)C(O)NR^(3b)(CR³R^(3a))_(w), (CR³R^(3a))_(u)S(CR³R^(3a))_(w), (CR³R^(3a))_(u)S(O)(CR³R^(3a))_(w), (CR³R^(3a))_(u)S(O)₂(CR³R^(3a))_(w), (CR³R^(3a))_(u)S(O)NR^(3b)(CR³R^(3a))_(w), and (CR³R^(3a))_(u)NR^(3b)S(O)₂(CR³R^(3a))_(w), wherein (u+w) or (u+u+w) is 0, 1, or 2, provided that G₁ does not form a N—S, NCH₂N, NCH₂O, or NCH₂S bond with either group to which it is attached; ring G is selected from:

A is selected from one of the following carbocycles and heterocycles which are substituted with 0-2 R⁴; phenyl, piperidinyl, piperazinyl, pyridyl, pyrimidyl, furanyl, morpholinyl, thiophenyl, pyrrolyl, pyrrolidinyl, oxazolyl, isoxazolyl, thiazolyl, isothiazolyl, pyrazolyl, imidazolyl, 1,2,3-oxadiazolyl, 1,2,4-oxadiazolyl, 1,2,5-oxadiazolyl, 1,3,4-oxadiazolyl, 1,2,3-thiadiazolyl, 1,2,4-thiadiazolyl, 1,2,5-thiadiazolyl, 1,3,4-thiadiazolyl, 1,2,3-triazolyl, 1,2,4-triazolyl, 1,2,5-triazolyl, 1,3,4-triazolyl, benzofuranyl, benzothiofuranyl, indolinyl, indolyl, benzimidazolyl, benzoxazolyl, benzthiazolyl, indazolyl, benzisoxazolyl, benzisothiazolyl, and isoindazolyl; B is selected from Y, X—Y, CH₂NR²R^(2a), and CH₂CH₂NR²R^(2a); X is selected from —(CR²R^(2a))₁₋₄—, —C(O)—, —C(═NR^(1c))—, —CR²(NR²R^(2a))—, —C(O)CR²R^(2a)—, —CR²R^(2a)C(O), —C(O)NR²—, —NR²C(O)—, —C(O)NR²CR²R^(2a)—, —NR²C(O)CR²R^(2a)—, —CR²R^(2a)C(O)NR²—, —CR²R^(2a)NR²C(O)—, —NR²C(O)NR²—, —NR²—, —NR²CR²R^(2a)—, —CR²R^(2a)NR²—, O, —CR²R^(2a)O—, and —OCR²R^(2a)—; Y is NR²R^(2a), provided that X—Y do not form a N—N or O—N bond; alternatively, Y is selected from one of the following carbocycles and heterocycles which are substituted with 0-2 R^(4a); cylcopropyl, cyclopentyl, cyclohexyl, phenyl, piperidinyl, piperazinyl, pyridyl, pyrimidyl, furanyl, morpholinyl, thiophenyl, pyrrolyl, pyrrolidinyl, oxazolyl, isoxazolyl, isoxazolinyl, thiazolyl, isothiazolyl, pyrazolyl, imidazolyl, 1,2,3-oxadiazolyl, 1,2,4-oxadiazolyl, 1,2,5-oxadiazolyl, 1,3,4-oxadiazolyl, 1,2,3-thiadiazolyl, 1,2,4-thiadiazolyl, 1,2,5-thiadiazolyl, 1,3,4-thiadiazolyl, 1,2,3-triazolyl, 1,2,4-triazolyl, 1,2,5-triazolyl, 1,3,4-triazolyl, benzofuranyl, benzothiofuranyl, indolinyl, indolyl, benzimidazolyl, benzoxazolyl, benzthiazolyl, indazolyl, benzisoxazolyl, benzisothiazolyl, and isoindazolyl; alternatively, Y is selected from the following bicyclic heteroaryl ring systems:

K is selected from O, S, NH, and N; Z is selected from CH₂O, OCH₂, NH, CH₂NH, NHCH₂, CH₂C(O), C(O)CH₂, C(O)NH, NHC(O), CH₂S(O)₂, S(O)₂(CH₂), SO₂NH, and NHSO₂, provided that Z does not form a N—S, NCH₂N, NCH₂C, or NCH₂S bond with either group to which it is attached; alternatively, when (a) B is other than an optionally substituted carbocycle; and, (b) G₁ is (CH₂)_(u)NR^(3b)(CH₂)_(w), (CH₂)_(u)C(O)NR^(3b)(CH₂)_(w), (CH₂)_(u)NR^(3b)C(O)(CH₂)_(w), (CH₂)_(u)S(O)NR^(3b)(CH₂)_(w), (CH₂)_(u)S(O)₂NR^(3b)(CH₂)_(w), or (CH₂)_(u)NR^(3b)S(O)₂(CH₂)_(w); and (u+w) is 1 or 2; then Z is other than CH₂NH, NHCH₂, C(O)NH, NHC(O), CH₂S(O)₂, S(O)₂(CH₂), SO₂NH, and NHSO₂; alternatively, when (a) B is other than an optionally substituted carbocycle; and, (b) Z is CH₂NH, NHCH₂, C(O)NH, NHC(O), CH₂S(O)₂, S(O)₂(CH₂), SO₂NH, and NHSO₂; then G₁ is other than (CH₂)_(u)NR^(3b)(CH₂)_(w), (CH₂)_(u)C(O)NR^(3b)(CH₂)_(w), (CH₂)_(u)NR^(3b)C(O)(CH₂)_(w), (CH₂)_(u)S(O)NR^(3b)(CH₂)_(w), (CH₂)_(u)S(O)₂NR^(3b)(CH₂)_(w), or (CH₂)_(u)NR^(3b)S(O)₂(CH₂)_(w); and (u+w) is 1 or
 2. 4. A compound according to claim 3, wherein: rings P-M are substituted with 0-1 R^(1a) and are selected from the group:

G₁ is absent or is selected from CH₂, CH₂CH₂, CH₂O, OCH₂, NH, CH₂NH, NHCH₂, CH₂C(O), C(O)CH₂, C(O)NH, NHC(O), CH₂S(O)₂S(O)₂(CH₂), SO₂NH, and NHSO₂, provided that G₁ does not form a N—S, NCH₂N, NCH₂O, or NCH₂S bond with either group to which it is attached; ring G is selected from:

alternatively, when (a) B is other than an optionally substituted carbocycle; and, (b) G₁ is CH₂NH, NHCH₂, C(O)NH, NHC(O), CH₂S(O)₂, S(O)₂(CH₂), SO₂NH, and NHSO₂; then Z is other than CH₂NH, NHCH₂, C(O)NH, NHC(O), CH₂S(O)₂, S(O)₂(CH₂), SO₂NH, and NHSO₂; alternatively, when (a) B is other than an optionally substituted carbocycle; and, (b) Z is CH₂NH, NHCH₂, C(O)NH, NHC(O), CH₂S(O)₂, S(O)₂(CH₂), SO₂NH, and NHSO₂; then G₁ is other than CH₂NH, NHCH₂, C(O)NH, NHC(O), CH₂S(O)₂, S(O)₂(CH₂), SO₂NH, and NHSO₂.
 5. A compound of claim 4, wherein: rings P-M are substituted with 0-1 R^(1a) and are selected from the group:

G₁ is absent; and ring G is selected from:


6. A compound of claim 5, wherein: A is selected from phenyl, pyridyl, and pyrimidyl, and is substituted with 0-2 R⁴; and, B is selected from X—Y, phenyl, pyrrolidino, morpholino, 1,2,3-triazolyl, imidazolyl, and benzimidazolyl and is substituted with 0-1 R^(4a); X is CH₂ or C(O); Y is selected from pyrrolidino and morpholino; R², at each occurrence, is selected from H, CH₃, CH₂CH₃, cyclopropylmethyl, cyclobutyl, and cyclopentyl; R^(2a), at each occurrence, is H or CH₃; alternatively, R² and R^(2a), together with the atom to which they are attached, combine to form pyrrolidine substituted with 0-2 R^(4b); R⁴, at each occurrence, is selected from OH, (CH₂)_(r)OR², halo, C₁₋₄ alkyl, (CH₂)_(r)NR²R^(2a), and (CF₂)_(r)CF₃; R^(4a) is selected from C₁₋₄ alkyl, CF₃, (CH₂)_(r)OR², (CH₂)_(r)NR²R^(2a), S(O)_(p)R^(5a), SO₂NR²R^(2a), and 1-CF₃-tetrazol-2-yl; R^(4b), at each occurrence, is selected from H, CH₃, and OH; R⁵, at each occurrence, is selected from CF₃, C₁₋₆ alkyl, phenyl, and benzyl; p, at each occurrence, is selected from 0, 1, and 2; and r, at each occurrence, is selected from 0, 1, and
 2. 7. A compound of claim 6, wherein: A is selected from the group: phenyl, 2-pyridyl, 3-pyridyl, 2-pyrimidyl, 2-Cl-phenyl, 3-Cl-phenyl, 2-F-phenyl, 3-F-phenyl, 2-methylphenyl, 2-aminophenyl, and 2-methoxyphenyl; and, B is selected from the group: 2-(aminosulfonyl)phenyl, 2-(methylaminosulfonyl)phenyl, 1-pyrrolidinocarbonyl, 2-(methylsulfonyl)phenyl, 2-(N,N-dimethylaminomethyl)phenyl, 2-(N,N-diethylaminomethyl)phenyl, 2-(N-methylaminomethyl)phenyl, 2-(N-ethyl-N-methylaminomethyl)phenyl, 2-(N-pyrrolidinylmethyl)phenyl, 1-methyl-2-imidazolyl, 2-methyl-1-imidazolyl, 2-(N,N-dimethylaminomethyl)-1-imidazolyl, 2-(N-methylaminomethyl)-1-imidazolyl, 2-(N-(cyclopropylmethyl)aminomethyl)phenyl, 2-(N-(cyclobutyl)aminomethyl)phenyl, 2-(N-(cyclopentyl)aminomethyl)phenyl, 2-(N-(4-hydroxypiperidinyl)methyl)phenyl, 2-(N-(3-hydroxypyrrolidinyl)methyl)phenyl, and 2-(N-(2-hydroxyethyl)methylamino)-methyl)phenyl.
 8. A compound of claim 7, or a pharmaceutically acceptable salt thereof, wherein the compound is selected from: 4-(4-methoxyphenyl)-1-methyl-6-{2′-[(methylamino)methyl]-1,1′-biphenyl-4-yl}-1,2,4,6-tetrahydropyrido[3,4-b]pyrazine-3,5-dione; 4-(4-methoxyphenyl)-1-methyl-6-[2′-(1-pyrrolidinylmethyl)-1,1′-biphenyl-4-yl}-1,2,4,6-tetrahydropyrido[3,4-b]pyrazine-3,5-dione; 6-[2′-(methylsulfonyl)-1-1′-biphenyl-4-yl]-4-(4-methoxyphenyl)-2,3,4,6-tetrahydropyrido[3,4-b]pyrazin-5(1H)-one; 3-{5-[2′-(methylsulfonyl)-1,1′-biphenyl-4-yl]-2,4-dioxo-1,2,4,5-tetrahydro-3H-imidazo[4,5-c]pyridin-3-yl}benzenecarboximidamide; 3-[7-[2′-(methylsulfonyl)-1,1′-biphenyl-4-yl]-8-oxo-3,4,7,8-tetrahydro-1,7-naphthyridin-1(2-H)-yl]}benzenecarboximidamide; 3-[6-[2′-(methylsulfonyl)-1,1′-biphenyl-4-yl]-5-oxo-2,3,5,6-tetrahydropyrido[3,4-b]-pyrazin-4(1H)-yl]benzenecarboximidamide; 3-[6-[2′-(methylsulfonyl)-1,1′-biphenyl-4-yl]-5-oxo-2,3,5,6-tetrahydropyrido-4H-pyrido[4,3-b][1,4]-oxazin-4-yl}benzenecarboximidamide; 3-[6-[2′-(methylsulfonyl)-1,1′-biphenyl-4-yl]-2,5-dioxo-2,3,5,6-tetrahydropyrido[3,4-b]pyrazin-4(1H)-yl]benzenecarboximidamide; 3-[6-[2′-(methylsulfonyl)-1,1′-biphenyl-4-yl]-3,5-dioxo-2,3,5,6-tetrahydropyrido-4H-pyrido[4,3-b][1,4]-oxazin-4-yl}benzenecarboximidamide; 3-[6-[2′-(methylsulfonyl)-1,1′-biphenyl-4-yl]-3,5-dioxo-2,3,5,6-tetrahydropyrido[3,4-b]pyrazin-4(1H)-yl]benzenecarboximidamide; and 3-[6-[2′-(methylsulfonyl)-1,1′-biphenyl-4-yl]-2,2-dioxido-5-oxo-5,6-dihydro-1H-pyrido[4,3-c][1,2,5]thiadiazin-4(3H)-yl]benzenecarboximidamide.
 9. A pharmaceutical composition, comprising: a pharmaceutically acceptable carrier and a therapeutically effective amount of a compound of claim 1 or a pharmaceutically acceptable salt thereof.
 10. A method for treating a thromboembolic disorder, comprising: administering to a patient in need thereof a therapeutically effective amount of a compound of claim 1 or a pharmaceutically acceptable salt thereof.
 11. A method according to claim 10, wherein the thromboembolic disorder is selected from the group consisting of arterial cardiovascular thromboembolic disorders, venous cardiovascular thromboembolic disorders, arterial cerebrovascular thromboembolic disorders, and venous cerebrovascular thromboembolic disorders.
 12. A method according to claim 11, wherein the thromboembolic disorder is selected from unstable angina, first myocardial infarction, recurrent myocardial infarction, ischemic sudden death, transient ischemic attack, stroke, atherosclerosis, venous thrombosis, deep vein thrombosis, thrombophlebitis, arterial embolism, coronary arterial thrombosis, cerebral arterial thrombosis, cerebral embolism, kidney embolism, pulmonary embolism, and thrombosis resulting from (a) prosthetic valves or other implants, (b) indwelling catheters, (c) stents, (d) cardiopulmonary bypass, (e) hemodialysis, and (f) other procedures in which blood is exposed to an artificial surface that promotes thrombosis.
 13. A method of treating a patient in need of thromboembolic disorder treatment, comprising: administering a compound of claim 1 or a pharmaceutically acceptable salt thereof in an amount effective to treat a thromboembolic disorder.
 14. A method, comprising: administering a compound of claim 1 or a pharmaceutically acceptable salt thereof in an amount effective to treat a thromboembolic disorder.
 15. A compound of claim 1 for use in therapy.
 16. Use of a compound of claim 1 for the manufacture of a medicament for the treatment of a thromboembolic disorder. 